Individual
MS. RAMONA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, SUITE 245, MILWAUKEE, WI 53215-3669
(414) 649-6780
Mailing address
4815 S 21ST STREET, MILWAUKEE, WI 53221
(414) 736-4617
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
146327-30
WI
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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