Individual
MRS. CLAUDINE MBALA TEZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8606 SOUTH MAIZE DR, OAK CREEK, WI 53154
(414) 764-8068
(414) 764-8068
Mailing address
8606 SOUTH MAIZE DR, OAK CREEK, WI 53154
(414) 764-8068
(414) 764-8068
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312705-31
WI
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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