Individual
ANGELA VANTREECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W6610 HWY 33, PORTAGE, WI 53901-9114
(715) 299-5272
Mailing address
W6610 HWY 33, PORTAGE, WI 53901-9114
(715) 299-5272
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305279-31
WI
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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