Individual
MRS. DELNA LEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2404 W HOPE AVE, MILWAUKEE, WI 53209-6629
(414) 732-0092
Mailing address
2404 W HOPE AVE, MILWAUKEE, WI 53209-6629
(414) 732-0092
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
24277-31
WI
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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