Individual
DAYNE RAE BORGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
935 MAIN STREET, DELAFIELD, WI 53018-0198
(262) 646-3361
Mailing address
935 MAIN STREET, DELAFIELD, WI 53018-0198
(262) 646-3361
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
0940
WI
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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