Individual
NIKIA COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5735 DURAND AVE, SUITE A, MOUNT PLEASANT, WI 53406-5011
(262) 549-6698
Mailing address
5735 DURAND AVE, SUITE A, MOUNT PLEASANT, WI 53406-5011
(262) 549-6698
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
31-318586
WI
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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