Individual
MS. THERESA LYNN PAQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1917 BUNKER HILL CT, DE PERE, WI 54115-1705
(920) 819-0633
Mailing address
1917 BUNKER HILL CT, DE PERE, WI 54115-1705
(920) 819-0633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
124967-30
WI
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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