Individual
MS. KARLA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2742 N 54TH ST, UPPER, MILWAUKEE, WI 53210-2329
(414) 552-3831
Mailing address
2742 N 54TH ST, UPPER, MILWAUKEE, WI 53210-2329
(414) 552-3831
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307563-031
WI
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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