Individual
MRS. SANDRA JEAN TOUTANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2033 CHARLES ST, RACINE, WI 53402-4609
(262) 989-6459
Mailing address
2033 CHARLES ST, RACINE, WI 53402-4609
(262) 989-6459
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
18746-031
WI
Other
Enumeration date
10/04/2009
Last updated
10/04/2009
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