Individual
MARY KATHRYN MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
283 W MAPLE ST, GRAFTON, WI 53024-2241
(262) 388-1955
Mailing address
283 W MAPLE ST, GRAFTON, WI 53024-2241
(262) 388-1955
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311304-31
WI
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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