Individual
CARLA RENE' BROWN-JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
5640 N 97TH ST, MILWAUKEE, WI 53225-2502
(414) 817-2936
Mailing address
4446 N 75TH ST, MILWAUKEE, WI 53218-5432
(414) 817-2936
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
107558-30
WI
372600000X
Adult Companion
107558-30
WI
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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