Individual
MRS. MARY ELIZABETH ALLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
407 COUNCIL ST, FORT ATKINSON, WI 53538-1619
(920) 723-7288
Mailing address
407 COUNCIL ST, FORT ATKINSON, WI 53538-1619
(920) 723-7288
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307129
WI
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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