Alyssa Jane Revolinski

NPI #1649755695 in Waterford, Wisconsin

Provider Information

NPI Number: 1649755695
Entity Type: Individual
Name: Alyssa Jane Revolinski
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Respite Care - Respite Care, Mental Illness, Child
Enumeration Date: Sep 26, 2018
Last Updated: Sep 26, 2018

Practice Location

Address: 269435 S ELM LANE
City: Waterford
State: Wisconsin
ZIP Code: 53185
Phone: (262) 210-0272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care - Respite Care, Mental Illness, Child — Respite Care, Mental Illness, Child	385HR2055X	Primary

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