Individual
CECILIA ANN CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3004 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8120
Mailing address
5307 34TH AVE, KENOSHA, WI 53144-2820
(262) 412-0530
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043122228
IL
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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