Individual
MISS CONSTANCE LEACHELLE BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5337 N. 34TH STREET, MILWAUKEE, WI 53209
(414) 737-1099
Mailing address
5337 N. 34TH STREET, MILWAUKEE, WI 53209
(414) 737-1099
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309388-31
WI
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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