Individual
MRS. CYNTHIA ANN ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1503 NORTH 2ND STREET, SHEBOYGAN, WI 53081
(920) 457-1483
Mailing address
1503 NORTH 2ND STREET, SHEBOYGAN, WI 53081
(920) 457-1483
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22856-031
WI
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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