NPI 1326679663

Andrea Maria Dosedla

Practitioner Prevention Professional Sussex, WI

Practice location

Address: N61w23044 Harrys Way, Sussex, WI 53089-3995
Phone: (414) 566-7627
Mailing address: 1141 S 75th St, West Allis, WI 53214-3020

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 1682-39 (WI)

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Registry record

NPI: 1326679663
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jan 2020
Record last updated: 27 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.