Individual
DARYN JOSEPH FLENTJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
129 JOYCE DR, LODI, WI 53555-1366
(608) 592-1234
Mailing address
129 JOYCE DR, LODI, WI 53555-1366
(608) 592-1234
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
126423030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39986200
—
WI
Enumeration date
08/30/2008
Last updated
08/30/2008
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