Individual
MRS. LYNETTE M. VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1288 HASTINGS ST, GREEN BAY, WI 54301-2424
(920) 469-2014
Mailing address
1288 HASTINGS ST, GREEN BAY, WI 54301-2424
(920) 469-2014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
85091-030
WI
163WH0200X
Home Health Registered Nurse
85091-030
WI
Other
Enumeration date
02/16/2009
Last updated
02/16/2009
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