Individual
MRS. KATIE LAURA REYNOLDS-OEZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
164 S ASH LN, WHITEWATER, WI 53190-2188
(920) 285-4920
Mailing address
164 S ASH LN, WHITEWATER, WI 53190-2188
(920) 285-4920
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304885-031
WI
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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