Individual
JANICE LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8315 LANDON RD, PORT WING, WI 54865-4777
(715) 774-3556
Mailing address
8315 LANDON RD, PORT WING, WI 54865-4777
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
A536-4329-6674-09
WI
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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