Individual
RETTA FLOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 W VLIET ST, MILWAUKEE, WI 53208-2453
(414) 231-4000
(414) 231-4011
Mailing address
3220 W VLIET ST, MILWAUKEE, WI 53208-2453
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27119-031
WI
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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