Individual
GWENDA LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2813 N 54TH ST, MILWAUKEE, WI 53210-1630
(414) 731-7035
Mailing address
2813 N 54TH ST, MILWAUKEE, WI 53210-1630
(414) 731-7035
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0019033
WI
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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