Individual
MRS. MELANIE SHERI BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
706 CARDINAL LN, HOWARDS GROVE, WI 53083-1409
(920) 565-3155
Mailing address
706 CARDINAL LANE, HOWARDS GROVE, WI 53083
(920) 565-3155
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313035-31
WI
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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