Individual
MS. MILDRED SHEREE REEVES-WILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9139 W CUSTER AVE, MILWAUKEE, WI 53225-3411
(414) 243-6684
Mailing address
9139 W CUSTER AVE, MILWAUKEE, WI 53225-3411
(414) 243-6684
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30053-031
WI
Other
Enumeration date
02/28/2011
Last updated
02/13/2013
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