Individual
TINA MARIE VIFQUAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 SHELTON ST, CHADRON, NE 69337-2362
(308) 360-2707
Mailing address
118 SHELTON ST, CHADRON, NE 69337-2362
(308) 360-2707
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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