Individual
MRS. TAMARA CHARNETTE LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2314 N 114TH ST, WAUWATOSA, WI 53226-1226
(262) 794-6477
(414) 231-3677
Mailing address
2314 N 114TH ST, WAUWATOSA, WI 53226-1226
(262) 794-6477
(414) 231-3677
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305566-31
WI
Other
Enumeration date
12/05/2008
Last updated
01/29/2013
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