Individual
ALYSSA JOY HIEBING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
318343-31
Contact information
Practice address
1701 N 27TH ST, SHEBOYGAN, WI 53081-2034
(920) 946-0187
Mailing address
2806 N 11TH ST, SHEBOYGAN, WI 53083-4020
(920) 627-0979
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
31834331
WI
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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