Individual
MS. KRISTINE MARIE THORMODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2000 N OXFORD AVE, BUILDING TWO, EAU CLAIRE, WI 54703-5184
(715) 834-1074
(715) 834-1078
Mailing address
2000 N OXFORD AVE, BUILDING TWO, EAU CLAIRE, WI 54703-5184
(715) 834-1074
(715) 834-1078
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310367-31
WI
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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