Individual
ANIELLA TARANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 S WEBSTER AVE, GREEN BAY, WI 54301-3528
(920) 433-3630
(920) 437-0533
Mailing address
744 S WEBSTER AVE, MEDICAL STAFF SERVICES, GREEN BAY, WI 54301
(920) 433-6090
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
135083-121
WI
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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