Individual
JULIA ESPERANZA LOPEZ-DECUIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1422 CATTAIL LN APT 3, FOND DU LAC, WI 54937-7843
(920) 597-0665
Mailing address
1422 CATTAIL LN APT 3, FOND DU LAC, WI 54937-7843
(920) 597-0665
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
327038-31
WI
Other
Enumeration date
02/27/2022
Last updated
02/27/2022
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