LUIS FERNANDO JASSO CHAVEZ

PEWAUKEE, WI
NPI1407780760
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  18326-33)
Enumeration Date2026-06-11
Last Update Date2026-06-11
Business Address
LUIS FERNANDO JASSO CHAVEZ
W263N2060 E FIELDHACK DR UNIT 205
PEWAUKEE, WI 53072-5405
Phone number: 414-243-4900
Mailing Address
LUIS FERNANDO JASSO CHAVEZ
W263N2060 E FIELDHACK DR UNIT 205
PEWAUKEE, WI 53072-5405
Phone number: