Individual
RAQUEL ARENAS-GRUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 N DIVISION ST, APPLETON, WI 54911-4611
(920) 445-8811
Mailing address
414 N DIVISION ST, APPLETON, WI 54911-4611
(920) 445-8811
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316103
WI
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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