Individual
MS. GWENDOLYN Y ATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4219 W COURTLAND AVE, MILWAUKEE, WI 53209-5839
(414) 795-4532
Mailing address
4219 W COURTLAND AVE, MILWAUKEE, WI 53209-5839
(414) 795-4532
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P324244
WI
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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