Individual
MRS. DEANNA MARIE MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
310 S JACKSON ST, IOLA, WI 54945-9626
(715) 445-4321
Mailing address
PO BOX 446, 310 S JACKSON ST, IOLA, WI 54945-0446
(715) 445-4321
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5852-16
WI
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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