Individual
ERIKA MILDRED HAFEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1316 BLAKE AVE, SOUTH MILWAUKEE, WI 53172-3522
(414) 379-0198
Mailing address
1316 BLAKE AVE, SOUTH MILWAUKEE, WI 53172-3522
(414) 379-0198
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307282-031
WI
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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