Marie Agatha Thomalla, LPN

NPI #1942592639 in Baldwin, Wisconsin

Provider Information

NPI Number
1942592639
Entity Type
Individual
Name
Marie Agatha Thomalla, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
May 12, 2011
Last Updated
May 12, 2011

Practice Location

Address
1810 4TH AVE APT 5
ZIP Code
54002-5141
Phone
(715) 684-4655

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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