Individual
CARMELLA L CACERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3707 N RICHARDS ST, MILWAUKEE, WI 53212-1673
(414) 967-7006
Mailing address
6824 W ACACIA ST, MILWAUKEE, WI 53223-5744
(414) 881-0566
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
199831
WI
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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