Individual
BLANCA QUILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
732 W BURNHAM ST, MILWAUKEE, WI 53204-3902
(414) 671-4924
Mailing address
732 W BURNHAM ST, MILWAUKEE, WI 53204-3902
(414) 671-4924
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
179153-30
WI
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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