Individual
MRS. PATTIE S. BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7938 NORTH 107TH STREET, APT 3, MILWAUKEE, WI 53224-3162
(414) 699-3937
Mailing address
PO BOX 240471, MILWAUKEE, WI 53224-3162
(414) 699-3937
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
29959
WI
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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