Individual
MS. TERRISHA LEE RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2019 N FARWELL AVE APT 306, MILWAUKEE, WI 53202-1144
(414) 460-7779
Mailing address
2019 N FARWELL AVE APT 306, MILWAUKEE, WI 53202-1144
(414) 460-7779
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311453-031
WI
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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