Individual
TINA M MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2432 N 25TH ST, MILWAUKEE, WI 53206-1004
(414) 810-8738
Mailing address
2432 N 25TH ST, MILWAUKEE, WI 53206-1004
(414) 810-8738
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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