Individual
SHANA L THOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6799
(715) 848-4600
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
238463
WI
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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