Individual
MRS. TINA MARIE FALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
N7706 MAPLE RIDGE ROAD, OCONOMOWOC, WI 53066
(262) 490-1118
Mailing address
N7706 MAPLE RIDGE ROAD, OCONOMOWOC, WI 53066
(262) 490-1118
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
24900031
WI
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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