MISS Trista Deloris Clemmer, LPN

NPI #1811164122 in Grantsburg, Wisconsin

Provider Information

NPI Number
1811164122
Entity Type
Individual
Name
MISS Trista Deloris Clemmer, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
May 15, 2008
Last Updated
May 15, 2008

Practice Location

Address
618 S CHURCH ST
ZIP Code
54840-7866
Phone
(715) 220-1995

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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