Individual
MR. VICTOR EFANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6293 W PORT AVE, MILWAUKEE, WI 53223-4119
(414) 446-5150
Mailing address
6293 W PORT AVE, MILWAUKEE, WI 53223-4119
(414) 446-5150
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318298-31
WI
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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