Individual
MARTHA LYNN DREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
3101 MOLLY BROWN LANE, GREEN DAY, WI 54313
(920) 784-5583
Mailing address
3101 MOLLY BROWN LANE, GREEN DAY, WI 54313
(920) 784-5583
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318744
WI
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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