Individual
MONA ELAINE MAHRTYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1242 S 8TH AVE, WAUSAU, WI 54401-5903
(715) 869-8801
Mailing address
1242 S 8TH AVE, WAUSAU, WI 54401-5903
(715) 869-8801
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312659-31
WI
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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