Individual
MS. CANDACE D ROUNDTREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 N 57TH ST, MILWAUKEE, WI 53210-2207
(414) 350-0090
Mailing address
2501 N 57TH ST, MILWAUKEE, WI 53210-2207
(414) 350-0090
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
NRSMA 300-221G
WI
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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