Individual
MISS LATRESHA ANN ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2456 N 30TH ST, MILWAUKEE, WI 53210-3119
(414) 736-9775
Mailing address
2456 N 30TH ST, MILWAUKEE, WI 53210-3119
(414) 736-9775
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
149178030
WI
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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