Individual
MRS. CARRIE MANLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W296N2124 GLEN COVE RD, PEWAUKEE, WI 53072-4833
(262) 695-2287
Mailing address
W296N2124 GLEN COVE RD, PEWAUKEE, WI 53072-4833
(262) 695-2287
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
87293
WI
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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