Individual
MCKENNA L ENGEBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1970 S RIDGE RD, GREEN BAY, WI 54304-4125
(920) 430-4888
Mailing address
1646 LEDVINA ST, GREEN BAY, WI 54313-5323
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WI
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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