Individual
MARY SYRETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1200 MERRYMAN ST, MARINETTE, WI 54143-2504
(715) 923-0811
Mailing address
1200 MERRYMAN ST, MARINETTE, WI 54143-2504
(715) 923-0811
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34754-031
WI
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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