Individual
HAILEY TRIMBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N8965 WILLOW RD, WATERTOWN, WI 53094-9143
(920) 650-6211
Mailing address
N8965 WILLOW RD, WATERTOWN, WI 53094-9143
(920) 650-6211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
179143
WI
Other
Enumeration date
11/15/2015
Last updated
11/15/2015
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