Cleveland Va Cboc
NPI #1063439966 in Cleveland, Wisconsin
Provider Information
- NPI Number
- 1063439966
- Entity Type
- Organization
- Organization Name
- Cleveland Va Cboc
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MRS. STACEY JEAN HIBBARD
- Title
- LPN
- Phone
- (920) 693-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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