Individual
BRENDA JEAN ROEHRBORN DORAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
W5502 STATE ROAD 28, WALDO, WI 53093-1208
(920) 207-8918
Mailing address
W5502 STATE ROAD 28, WALDO, WI 53093-1208
(920) 207-8918
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314406-31
WI
Other
Enumeration date
07/14/2013
Last updated
07/14/2013
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