Individual
LEA SHIMOKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 000-0000
Mailing address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
184701
WI
Other
Enumeration date
07/08/2014
Last updated
03/04/2016
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