Individual
MS. PATRINA LAVERNE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6650 W STATE ST, D146, MILWAUKEE, WI 53213-2827
(414) 678-8782
Mailing address
2233 N 25TH ST, MILWAUKEE, WI 53205-1028
(414) 678-8782
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306415-31
WI
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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