Individual
TINA MARIE DEWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
625 SOUTHWIND DR, #208, LAKE GENEVA, WI 53147-4756
(262) 325-8383
Mailing address
625 SOUTHWIND DR, #208, LAKE GENEVA, WI 53147-4756
(262) 325-8383
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
166915030
WI
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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