Individual
CHRISTINA MARIE HUIZENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13422 N AFOLKEY RD, ORANGEVILLE, IL 61060-9754
(608) 359-3987
Mailing address
13422 N AFOLKEY RD, ORANGEVILLE, IL 61060-9754
(608) 359-3987
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
167668-30
WI
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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