Individual
ROSANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
8727B W HERBERT AVE, MILWAUKEE, WI 53225-4948
(414) 241-7077
Mailing address
8727B W HERBERT AVE, MILWAUKEE, WI 53225-4948
(414) 241-7077
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
31089031
WI
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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