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Individual

ANTOINETTE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5151 N 27TH ST APT 2, MILWAUKEE, WI 53209-5551
(414) 334-3542
Mailing address
5151 N 27TH ST APT 2, MILWAUKEE, WI 53209-5551
(414) 334-3542

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309393-31
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
309393-31
LPN
WI
Enumeration date
01/22/2019
Last updated
01/22/2019
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