Individual
STACY TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3063 N 58TH ST, MILWAUKEE, WI 53210-1546
(414) 403-9985
Mailing address
3063 N 58TH ST, MILWAUKEE, WI 53210-1546
(414) 403-9985
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321034-31
WI
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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