Individual
MS. RAVEN RENEE HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3878 N 7TH ST, MILWAUKEE, WI 53212-1173
(414) 699-3789
Mailing address
3878 N 7TH ST, MILWAUKEE, WI 53212
(414) 699-3789
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311414-031
WI
Other
Enumeration date
11/12/2009
Last updated
01/21/2022
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