Individual
MRS. JANELLE B BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NBC-HWC
Contact information
Practice address
1366 CANDLELIGHT LN, FOND DU LAC, WI 54937-7537
(920) 933-0856
Mailing address
1366 CANDLELIGHT LN, FOND DU LAC, WI 54937-7537
(920) 933-0856
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
IDA-3449601
WI
225200000X
Physical Therapy Assistant
931-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40356300
—
WI
Enumeration date
06/13/2006
Last updated
10/31/2023
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