Individual
MRS. PAULA JEAN MANTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3715 MUNICIPAL DR, MCHENRY, IL 60050-5483
(815) 759-2306
(815) 759-1953
Mailing address
546 TOMAHAWK DR, TWIN LAKES, WI 53181-9806
(262) 729-5152
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304238
WI
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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