Individual
LATONYA L HILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4074 N 44TH ST, MILWAUKEE, WI 53216-1502
(414) 305-0817
Mailing address
4074 N 44TH ST, MILWAUKEE, WI 53216-1502
(414) 305-0817
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311764-31
WI
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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