Individual
MISS ETHEL MAY WICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6882 N 61ST ST, MILWAUKEE, WI 53223-5402
(414) 760-6282
(414) 445-3893
Mailing address
6882 N 61ST ST, MILWAUKEE, WI 53223-5402
(414) 760-6282
(414) 445-3893
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
114599-030
WI
Other
Enumeration date
08/29/2009
Last updated
08/29/2009
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