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Provider NPI: 1821324500

Provider Information:
Gender: F
Sole Proprietor

Practice Location:
4562 N 45TH ST.  MILWAUKEE, WI 53218-5248 US
Tel: 414-699-5726  Fax: --

Business Mailing Address:
4562 N 45TH ST.  MILWAUKEE, WI 53218-5248 US
Tel: --  Fax: --

NPI Information:
NPI: 1821324500
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
N171R00000XOther Service Providers
N372500000XNursing Service Related Providers
Chore Provider
N372600000XNursing Service Related Providers
Adult Companion
N3747A0650XNursing Service Related Providers
N3747P1801XNursing Service Related Providers
N374U00000XNursing Service Related Providers
Home Health Aide
N376J00000XNursing Service Related Providers
N376K00000XNursing Service Related Providers
Nurse's Aide

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 374J00000X





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