Individual
LETITIA DOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9395 N 49TH ST, APT 201, BROWN DEER, WI 53223
(414) 687-6057
Mailing address
9395 N 49TH ST APT 201, BROWN DEER, WI 53223-6430
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322279-31
WI
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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