Individual
TRICIA MOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1223 KING ST, JANESVILLE, WI 53546-6025
(608) 247-4708
Mailing address
1223 KING ST, JANESVILLE, WI 53546-6025
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
169831-30
WI
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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