Individual
SHELIA SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4752 N 18TH ST, MILWAUKEE, WI 53209-6452
(414) 562-9352
(414) 562-9352
Mailing address
4752 N 18TH ST, MILWAUKEE, WI 53209-6452
(414) 562-9352
(414) 562-9352
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304276-031
WI
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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