Individual
MIRANDA LORANN LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5160 E CHERYL PKWY, FITCHBURG, WI 53711-7717
(715) 340-8644
Mailing address
5160 E CHERYL PKWY, FITCHBURG, WI 53711-7717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
176310
WI
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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