Individual
LINDA LOU FICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2842 S BUSINESS DR, SHEBOYGAN, WI 53081-6518
(920) 458-6527
Mailing address
2842 S BUSINESS DR, SHEBOYGAN, WI 53081-6518
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
16253
WI
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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