Individual
TIFFANY AMBER QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
603 MULBERRY ST, LAKE MILLS, WI 53551-1329
(920) 945-0136
Mailing address
1021 CENTER ST, LAKE MILLS, WI 53551-1930
(920) 648-7515
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
159053
WI
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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