Individual
LINDA KAY BALTHAZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
900 TRUMAN, STOUGHTON, WI 53589
(608) 206-5296
Mailing address
524 S MADISON ST, STOUGHTON, WI 53589
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
104424
WI
Other
Enumeration date
09/10/2017
Last updated
09/10/2017
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