TINA WALLACE

KENOSHA, WI
NPI1326484056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: WI  31662-31)
Enumeration Date2013-05-21
Last Update Date2013-05-21
Business Address
Ms. TINA WALLACE
4603 40TH AVE
KENOSHA, WI 53144-3543
Phone number: 262-914-1981
Mailing Address
Ms. TINA WALLACE
4603 40TH AVE
KENOSHA, WI 53144-3543
Phone number: 262-914-1981
Similar providers in Kenosha, WI
MARY SUSAN BERNARDY