Individual
BRENDA LEE MARQUARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
809 SEYMOUR ST, WAUPUN, WI 53963-9103
(920) 960-0381
Mailing address
809 SEYMOUR ST, WAUPUN, WI 53963-9103
(920) 960-0381
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307487-31
WI
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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