Individual
MISS JAMIE K WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1335 W HADLEY ST, MILWAUKEE, WI 53206-2646
(414) 265-4362
Mailing address
1335 W HADLEY ST, MILWAUKEE, WI 53206-2646
(414) 265-4362
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303983-031
WI
Other
Enumeration date
04/10/2006
Last updated
05/13/2008
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