Individual
MOLLY TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
EP1194 ROCK STREET, STRATFORD, WI 54484
(715) 207-2157
Mailing address
EP1194 ROCK STREET, STRATFORD, WI 54484
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
187545
WI
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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