Individual
MARY SUSAN BERNARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8207 22ND AVE, KENOSHA, WI 53143-6206
(224) 610-8902
Mailing address
741 FRANKLIN AVE, WINTHROP HARBOR, IL 60096-1616
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
143397
CA
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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