Individual
MRS. CYNTHIA JEAN WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 4TH AVE N, ROTHSAY, MN 56537
(218) 948-3778
(218) 998-3187
Mailing address
35318 RIVERWOOD TR, CROSS LAKE, MN 56442
(218) 692-2022
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L70332-3
MN
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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