Individual
MRS. LATOYA MARIE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9419 N 49TH ST APT 203, BROWN DEER, WI 53223-6433
(414) 350-1799
Mailing address
9419 N 49TH ST APT 203, BROWN DEER, WI 53223-6433
(414) 350-1799
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312314-031
WI
Other
Enumeration date
03/10/2012
Last updated
03/10/2012
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