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Individual

PATRICIA MARTIN

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
Mailing address
3707 N RICHARDS ST, MILWAUKEE, WI 53212-1673
(414) 967-7006

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28453
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28453-31
LPN
WI
Enumeration date
04/16/2019
Last updated
04/16/2019
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