Individual
TRINA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 HUNTERS RUN, ONEIDA, WI 54155-8609
(920) 370-0345
Mailing address
530 HUNTERS RUN, ONEIDA, WI 54155-8609
(920) 370-0345
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
8567
WI
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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