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Amanda Basso

NPI 1407338924 · on the registry since 2018

Practice

Address
7500 W North Ave
Milwaukee, WI 53213
Phone
(414) 258-6170

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-08-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin