Individual
MS. MARY DUBIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RESIDENT CARE TECH
Contact information
Practice address
W20298 STATE ROAD 121, WHITEHALL, WI 54773-9685
(608) 989-9648
(715) 538-2426
Mailing address
W20298 STATE ROAD 121, WHITEHALL, WI 54773-9685
(608) 989-9648
(715) 538-2426
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
CERT NA 170824
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CERT NA 170824
CERTIFIED NURSING ASSIST
WI
Enumeration date
01/17/2007
Last updated
07/08/2007
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