Individual
MS. KELTOUM MEZRAOUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5224 W LUEBBE LN, MILWAUKEE, WI 53223-4331
(414) 477-5136
Mailing address
5224 W LUEBBE LN, MILWAUKEE, WI 53223-4331
(414) 477-5136
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313233
WI
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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