Individual
JACQUELYN STAR PATTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W166N10209 CALICO LN, GERMANTOWN, WI 53022-4742
(262) 251-5496
Mailing address
W166N10209 CALICO LN, GERMANTOWN, WI 53022-4742
(262) 251-5496
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
76508-030
WI
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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