Individual
ERICA SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7034 N 55TH ST APT A, MILWAUKEE, WI 53223-6336
(414) 739-7098
Mailing address
7034 N 55TH ST APT A, MILWAUKEE, WI 53223-6336
(414) 739-7098
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
327054
WI
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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