Individual
MONSERRAT PATINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
464 CARDINAL LN, GREEN BAY, WI 54313-9569
(920) 661-9355
Mailing address
464 CARDINAL LN, GREEN BAY, WI 54313-9569
(920) 661-9355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20633-40
WI
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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