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Individual

MRS. LASHAWN DANIELLE WALSH-PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
5023 N 23RD ST, MILWAUKEE, WI 53209-5606
(414) 507-8612
Mailing address
5023 N 23RD ST, MILWAUKEE, WI 53209-5606
(414) 507-8612

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
177796-30
WI

Other

Enumeration date
08/01/2011
Last updated
08/01/2011
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