| NPI | 1962957357 |
|---|---|
| Former Name | DONNA L TESKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 64500-30) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |