MONICA C LICEAGA

JEFFERSON, WI
NPI1730844036
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2021-11-02
Last Update Date2021-11-02
Business Address
MONICA C LICEAGA BS
1541 ANNEX RD
JEFFERSON, WI 53549-9803
Phone number: 920-674-8796
Mailing Address
MONICA C LICEAGA BS
1541 ANNEX RD
JEFFERSON, WI 53549-9803
Phone number: 920-674-8796
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