Individual
MISS AMOIN MARIE BERTHE TENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2309 S PARK ST APT 16, MADISON, WI 53713-1937
(608) 669-5679
Mailing address
2309 S PARK ST APT 16, MADISON, WI 53713-1937
(608) 669-5679
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313882-031
WI
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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