NICHOLAS DERKOWSKI

APPLETON, WI
NPI1912472242
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  323307)
Enumeration Date2018-10-13
Last Update Date2018-10-13
Business Address
NICHOLAS DERKOWSKI
2255 W PERSHING ST
APPLETON, WI 54914-6061
Phone number: 920-509-2025
Mailing Address
NICHOLAS DERKOWSKI
2255 W PERSHING ST
APPLETON, WI 54914-6061
Phone number: 920-509-2025