Individual
REBEKAH MAE DRIESENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4870 STELLA CT UNIT 105, HOBART, WI 54155-9321
(906) 287-0876
Mailing address
4870 STELLA CT UNIT 105, HOBART, WI 54155-9321
(906) 287-0876
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
240125
WI
Other
Enumeration date
02/24/2019
Last updated
02/24/2019
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