Individual
CORRIE LYNN STAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4949
Mailing address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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