Individual
TANIA ROSE HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4832 58TH ST, KENOSHA, WI 53144-2414
(262) 496-0977
Mailing address
4832 58TH ST, KENOSHA, WI 53144-2414
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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