Individual
CASSANDRA L TELLEKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 3RD ST S, WISCONSIN RAPIDS, WI 54494-5834
(715) 697-8574
Mailing address
1911 3RD ST S, WISCONSIN RAPIDS, WI 54494-5834
(715) 697-8574
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1102467
WI
164W00000X
Licensed Practical Nurse
326088
WI
Other
Enumeration date
06/25/2021
Last updated
06/25/2023
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