Individual
MS. LEDA ESTRELLA FORSEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
N9562 COUNTY ROAD G, COLFAX, WI 54730-4633
(612) 605-8345
Mailing address
1315 7TH STREET E., MENOMONIE, WI 54751
(952) 567-1777
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
301832-31
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38315000
—
WI
Enumeration date
05/02/2006
Last updated
05/21/2015
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