Individual
MISS SYDNEY MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
W9228 FORESTED RD, CAMBRIDGE, WI 53523-9558
(608) 209-1100
Mailing address
W9228 FORESTED RD, CAMBRIDGE, WI 53523-9558
(608) 209-1100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
326276-31
WI
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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