Individual
MRS. GLADYS MARIE YUENKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3205 WOOD RD, RACINE, WI 53406-5048
(262) 598-9146
Mailing address
3205 WOOD RD, RACINE, WI 53406-5048
(262) 598-9146
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
916-19
WI
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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