Individual
JUDY MARIE STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1848 LIBERTY ST, MARINETTE, WI 54143-2115
(715) 735-0542
Mailing address
1848 LIBERTY ST, MARINETTE, WI 54143-2115
(715) 735-0542
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308726-031
WI
164W00000X
Licensed Practical Nurse
4703101878
MI
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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