Individual
ZITA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4251 N 22ND ST, MILWAUKEE, WI 53209-6715
(414) 449-0648
Mailing address
4251 N 22ND ST, MILWAUKEE, WI 53209-6715
(414) 449-0648
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34384-031
WI
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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