Individual
SABRINA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3707 N RICHARDS ST, MILWAUKEE, WI 53212-1673
(414) 967-7006
(414) 967-7020
Mailing address
4932 W MELVINA ST, MILWAUKEE, WI 53216-2345
(414) 788-2232
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312967
WI
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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