Individual
MR. BEE MOUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
209 W WASHINGTON ST, WAUSAU, WI 54403-5475
(715) 845-3637
Mailing address
209 W WASHINGTON ST, WAUSAU, WI 54403-5475
(715) 845-3637
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
31815131
WI
Other
Enumeration date
06/09/2014
Last updated
06/25/2014
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