Individual
YETTA DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
2269 N 59TH ST, MILWAUKEE, WI 53208-1041
(414) 399-7055
Mailing address
2269 N 59TH ST, MILWAUKEE, WI 53208-1041
(414) 399-7055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
166219-30
WI
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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