Individual
DENETTA LAURAELAINE FLOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4311 DURAND AVE., #104, MT.PLEASANT, WI 53405
(262) 989-9392
Mailing address
4311 DURAND AVE., #104, MT.PLEASANT, WI 53405
(262) 989-9392
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318068-31
WI
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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