LYDIA G TANNEY

GREEN BAY, WI
NPI1033538509
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2014-04-14
Last Update Date2014-04-14
Business Address
Mrs. LYDIA G TANNEY LAT
3046 CONESTA DR APT 1
GREEN BAY, WI 54311-4986
Phone number: 920-323-0880
Mailing Address
Mrs. LYDIA G TANNEY LAT
3046 CONESTA DR APT 1
GREEN BAY, WI 54311-4986
Phone number: 920-323-0880