Individual
PAMELA M HIATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1672 S 115TH CT APT 1, WEST ALLIS, WI 53214-3793
(262) 347-8384
Mailing address
1672 S 115TH CT APT 1, WEST ALLIS, WI 53214-3793
(262) 347-8384
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30824131
WI
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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