Individual
KATHLEEN HOLMES TAKEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935 MAIN ST, DELAFIELD, WI 53018-1613
(262) 646-3361
Mailing address
15335 BEDFORD CIR E, CLEARWATER, FL 33764-7061
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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