Individual
MRS. MARGUERITE EMILY MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5215 WILLOWVIEW RD, RACINE, WI 53402-2257
(262) 939-5216
Mailing address
5215 WILLOWVIEW RD, RACINE, WI 53402-2257
(262) 939-5216
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310929-031
WI
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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