Individual
MRS. RUBY N DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5664 N 96TH ST, MILWAUKEE, WI 53225-2642
(414) 536-8224
Mailing address
5664 N 96TH ST, MILWAUKEE, WI 53225-2642
(414) 536-8224
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302057-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38227900
—
WI
Enumeration date
09/18/2008
Last updated
09/18/2008
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