Individual
STEPHANIE Y RUFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4861 N TEUTONIA AVE, MILWAUKEE, WI 53209-5528
(414) 252-0575
(414) 252-0096
Mailing address
6528 N 70TH ST, MILWAUKEE, WI 53223-5717
(414) 519-2650
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30101
WI
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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