Individual
MISS SUSANA E VALDEZ-SHOGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
981 AUGUSTA DR, OREGON, WI 53575-3930
(608) 213-1680
Mailing address
981 AUGUSTA DR, OREGON, WI 53575-3930
(608) 213-1680
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
110400-30
WI
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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