Individual
MRS. KIM JOYCE LOOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
W3489 153 RD, LOYAL, WI 54446-8949
(715) 937-3127
Mailing address
W3489 153 RD, LOYAL, WI 54446-8949
(715) 937-3127
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312567-31
WI
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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