Individual
VANESSA ANN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4223 W. DOUGLAS AVE, MILWAUKEE, WI 53209-3528
(414) 393-0199
Mailing address
4223 W. DOUGLAS AVE., MILWAUKEE, WI 53209-3528
(414) 393-0199
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302759-031
WI
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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