Individual
TINA MARIE RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3202 STONECREEK DR APT 2, MADISON, WI 53719-5270
(608) 279-6518
Mailing address
3202 STONECREEK DR APT 2, MADISON, WI 53719-5270
(608) 279-6518
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305581-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38336500
—
WI
Enumeration date
10/15/2008
Last updated
10/15/2008
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