Individual
DESTINEE BURRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1627 N MAYFLOWER CT, MILWAUKEE, WI 53205-2266
(262) 788-0065
Mailing address
1627 N MAYFLOWER CT, MILWAUKEE, WI 53205-2266
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
327604
WI
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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