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Individual

TJWANA SUE VEASLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7512 N GRANVILLE RD APT 108, MILWAUKEE, WI 53224-3941
(414) 539-9612
Mailing address
7512 N GRANVILLE RD APT 108, MILWAUKEE, WI 53224-3941
(414) 539-9612

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309181-31
WI

Other

Enumeration date
07/07/2023
Last updated
07/07/2023
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