Individual
AMY PALLESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7932 W CLARKE ST, WAUWATOSA, WI 53213-1147
(262) 994-0877
Mailing address
7932 W CLARKE ST, WAUWATOSA, WI 53213-1147
(262) 994-0877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
166784-30
WI
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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