Luciano Branch Valid NPI

Individual provider · Registered Nurse · Deforest, WI

NPI

1245793637

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

177772 (WI)

Sex

Female

Sole proprietor

No

Enumerated

2019-04-11

Last updated

2019-04-11