Marylee J Ubick
Technician, Attendant Care Provider in Omro, WI. Individual provider (NPI-1).
NPI number1033767751
StatusActive
Last updated in NPPESAug 27, 2019
Details
- NPI
- 1033767751
- Entity type
- Individual (NPI-1)
- Name
- Marylee J Ubick
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 27, 2019
- Last updated
- Aug 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
701 Jackson AveOmro, WI 54963-1717
Phone 920-203-0603
Mailing address
701 Jackson AveOmro, WI 54963-1717
Phone 920-203-0603
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