Individual
CHERYL MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W9424 ALDERCATE DR, LODI, WI 53555-9477
(608) 635-6514
Mailing address
W9424 ALDERCATE DR, LODI, WI 53555-9477
(608) 635-6514
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
111037-30
WI
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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