Marissa C Manibog, LPN

NPI #1730616319 in Plymouth, Wisconsin

Provider Information

NPI Number
1730616319
Entity Type
Individual
Name
Marissa C Manibog, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
May 15, 2017
Last Updated
May 15, 2017

Practice Location

Address
127 BETH CIR
ZIP Code
53073-2649
Phone
(920) 892-7044

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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