Individual
CARESSA LATIA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2302 W SUNBURY CT, MILWAUKEE, WI 53215-4850
(414) 550-9041
Mailing address
2302 W SUNBURY CT, MILWAUKEE, WI 53215-4850
(414) 550-9041
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306916031
WI
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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