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Individual

NIKIA L WARE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN MSN ED MBA

Contact information

Practice address
3075 SPRING LAKE DR, ROCKFORD, IL 61114-5530
(815) 979-7303
Mailing address
3075 SPRING LAKE DR, ROCKFORD, IL 61114-5530
(815) 979-7303

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041321546
IL

Other

Enumeration date
04/10/2021
Last updated
04/10/2021
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