Individual
MRS. TINA J NIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
307 MESKWAKI RD, TAMA, IA 52339-9634
(641) 484-4094
(641) 484-2432
Mailing address
2341 HIGHWAY 30, TAMA, IA 52339-9774
(641) 484-3519
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P12716
IA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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