Individual
LAVONDA HUNISE DESLANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4642 W MELVINA ST, MILWAUKEE, WI 53216-2339
(414) 736-1275
Mailing address
4642 W MELVINA ST, MILWAUKEE, WI 53216-2339
(414) 736-1275
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
174837
WI
376K00000X
Nurse's Aide
Primary
174837
WI
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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