Individual
MS. MARGOT ELIZABETH MANASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3897 N 3RD ST, MILWAUKEE, WI 53212-1160
(414) 788-2590
Mailing address
3897 N 3RD ST, MILWAUKEE, WI 53212-1160
(414) 788-2590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
143198-30
WI
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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