Individual
MRS. TABATHA A RANGEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
N11896 W175, LOMIRA, WI 53048
(414) 566-6400
(414) 566-3866
Mailing address
N11896 W175, PO BOX 718, LOMIRA, WI 53048
(414) 566-6400
(414) 566-3866
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1476-023
WI
Other
Enumeration date
03/08/2006
Last updated
07/08/2007
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