Individual
MS. MELLADOLSHA BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4054 NORTH 69TH ST, MILWAUKEE, WI 53216
(414) 841-8391
Mailing address
4054 N 69TH ST, MILWAUKEE, WI 53216-1121
(414) 841-8391
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
17169730
WI
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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