Individual
MRS. VANETTE LAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W162N9890 MAYFLOWER DR, GERMANTOWN, WI 53022-5022
(262) 251-7325
Mailing address
2406 W FINN PL, MILWAUKEE, WI 53206-1338
(414) 871-9547
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
14674-031
WI
Other
Enumeration date
07/04/2006
Last updated
07/09/2007
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