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Individual

LAKISHA ROLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7919 W BENDER AVE APT 1, MILWAUKEE, WI 53218-1137
(414) 215-5340
(414) 236-5700
Mailing address
7919 W BENDER AVE APT 1, MILWAUKEE, WI 53218-1137
(414) 215-5340
(414) 236-5700

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017868
WI
05
0017869
WI
05
0017870
WI
Enumeration date
03/24/2020
Last updated
03/24/2020
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