Individual
DOLORES ANITA C. FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
130292-30
Contact information
Practice address
5735 DURAND AVE, SUITE A, MOUNT PLEASANT, WI 53406-5011
(262) 549-6600
Mailing address
5735 DURAND AVE, SUITE A, MOUNT PLEASANT, WI 53406-5011
(262) 549-6600
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
130292-30
WI
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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