Individual
GLORIA INIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2433 W MORGAN AVE, MILWAUKEE, WI 53221-1438
(414) 736-6969
Mailing address
2433 W MORGAN AVE, MILWAUKEE, WI 53221-1438
(414) 736-6969
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311632-031
WI
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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