Individual
MS. JUDITH NTABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5211 N MOHAWK AVE, GLENDALE, WI 53217-5022
(414) 906-0427
Mailing address
5211 N MOHAWK AVE, GLENDALE, WI 53217-5022
(414) 906-0427
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
117374-30
WI
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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