Individual
MS. DEBRA MADONNA WOOLFLPN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7449 W BECKETT AVE, MILWAUKEE, WI 53216-1011
(414) 616-1578
Mailing address
7449 W BECKETT AVE, MILWAUKEE, WI 53216-1011
(414) 616-1578
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28164-31
WI
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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