Individual
LEONORA MITRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 W PIONEER RD, FOND DU LAC, WI 54935-6151
(920) 921-9898
Mailing address
55 W PIONEER RD, FOND DU LAC, WI 54935-6151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21526-40
WI
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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