Individual
TERESA WONDERCHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S 8TH STREET, NEWMAN GROVE, NE 68758
(402) 447-6294
Mailing address
PO BOX 370, NEWMAN GROVE, NE 68758-0370
(402) 447-6294
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
43260
NE
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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