Individual
KATHLEEN HOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
964 COUNTY ROAD T, MARSHALL, WI 53559-9735
(608) 988-6472
Mailing address
N9261 COMSTOCK RD, PARDEEVILLE, WI 53954-9750
(608) 988-6472
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10158
WI
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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