Individual
MISS ANDREA SUE CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
806 COUNTY ROAD X, KRONENWETTER, WI 54455-9282
(715) 581-2053
Mailing address
806 COUNTY ROAD X, KRONENWETTER, WI 54455-9282
(715) 581-2053
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319041
WI
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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