Individual
UMULGER HASSAN GULLEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6256 W PORT AVE, MILWAUKEE, WI 53223-4120
(414) 371-1966
Mailing address
6256 W PORT AVE, MILWAUKEE, WI 53223-4120
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305551-031
WI
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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