Individual
HEATHERLY D AWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5735 DURAND AVE, MOUNT PLEASANT, WI 53406-5011
(262) 598-1392
Mailing address
5735 DURAND AVE, MOUNT PLEASANT, WI 53406-5011
(262) 598-1392
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324030-31
WI
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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