Individual
HEIDI SPURLOCK-MONDRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2270 STATE HIGHWAY 32, KRAKOW, WI 54137-9729
(920) 655-8666
Mailing address
2270 STATE HIGHWAY 32, KRAKOW, WI 54137-9729
(920) 655-8666
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319384
WI
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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