Individual
MS. DEBRA JEAN CONFORTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1459 30TH AVE, KENOSHA, WI 53144-2945
(262) 553-1232
Mailing address
1459 30TH AVE, KENOSHA, WI 53144-2945
(262) 553-1232
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302491-031
WI
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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