Individual
TISH LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
102 MOUNDVIEW ST, COBB, WI 53526-9655
(608) 732-4236
Mailing address
102 MOUNDVIEW ST, COBB, WI 53526-9655
(608) 732-4236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
192986-30
WI
Other
Enumeration date
02/10/2013
Last updated
02/10/2013
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