Individual
MS. GLENNA MARIE RETTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2302 JACKSON ST, 2302JACKSONSTREET, TWO RIVERS, WI 54241-2424
(920) 553-8623
Mailing address
2302 JACKSON ST, 2302JACKSON, TWO RIVERS, WI 54241-2424
(920) 553-8623
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20362-031
WI
Other
Enumeration date
05/08/2010
Last updated
05/08/2010
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