Individual
MS. TAMMY SUE HENSCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1606 S 19TH ST, SHEBOYGAN, WI 53081-5140
(920) 207-9963
Mailing address
1606 S 19TH ST, SHEBOYGAN, WI 53081-5140
(920) 207-9963
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308058-031
WI
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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