Individual
MS. CAROL ANN REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1433 LUCY LN, MADISON, WI 53711-3252
(608) 288-9128
Mailing address
1433 LUCY LN, MADISON, WI 53711-3252
(608) 288-9128
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26641-031
WI
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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