Individual
MISS MADELYN ELAINE VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
311 N MAIN ST, SHAWANO, WI 54166-2145
(715) 526-2822
Mailing address
2088 MEMORIAL DR APT 110, GREEN BAY, WI 54303-5302
(920) 676-9513
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86107934
WI
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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