Individual
MYRNA J CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
272 W 14TH ST, BUFFALO CITY, WI 54622-7186
(608) 248-3470
Mailing address
272 W 14TH ST, BUFFALO CITY, WI 54622-7186
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
107535
WI
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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