Individual
MRS. CORAL META SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
405 WISCONSIN ST, LINDEN, WI 53553-9755
(608) 574-9204
Mailing address
405 WISCONSIN ST, LINDEN, WI 53553-9755
(608) 574-9204
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
21847-31
WI
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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