Individual
PHILOMENA O EKWUEME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4509 N 76TH ST APT 1, MILWAUKEE, WI 53218-5343
(925) 726-1918
Mailing address
4509 N 76TH ST APT 1, MILWAUKEE, WI 53218-5343
(925) 726-1918
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322757-31
WI
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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