Individual
REBECCA MCCORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5313 TRAFALGER PL, MADISON, WI 53714-2028
(608) 469-6091
Mailing address
5313 TRAFALGER PL, MADISON, WI 53714-2028
(608) 469-6091
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306964-031
WI
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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