Individual
CHANTIRA MONIQUE ROSHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
N86W14322 FOND DU LAC AVE, MENOMONEE FALLS, WI 53051-3266
(414) 484-9465
Mailing address
N86W14322 FOND DU LAC AVE, MENOMONEE FALLS, WI 53051-3266
(414) 484-9465
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
326242-31
WI
Other
Enumeration date
05/09/2021
Last updated
05/09/2021
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