Individual
MRS. TONYA MARIE DUCHATEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2780 ONTARIO RD, GREEN BAY, WI 54311-4969
(920) 863-6914
Mailing address
2780 ONTARIO RD, GREEN BAY, WI 54311-4969
(920) 863-6914
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305367-031
WI
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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