Individual
MRS. LAURA RAE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1213 N WATER ST, MANITOWOC, WI 54220-3201
(920) 645-5634
Mailing address
2416 W RIVER ST, TWO RIVERS, WI 54241-1943
(920) 629-4080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
165958-30
WI
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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