Individual
CAMILLA LYNN ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1502 S LAYTON BLVD, MILWAUKEE, WI 53215-1925
(414) 643-6454
Mailing address
1502 S LAYTON BLVD, MILWAUKEE, WI 53215-1925
(414) 643-6454
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
148999-32
WI
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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