Individual
LORETTA MUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 S 10TH ST, MILWAUKEE, WI 53221-2412
(414) 744-5370
(414) 744-0611
Mailing address
4800 S 10TH ST, MILWAUKEE, WI 53221-2412
(414) 744-5370
(414) 744-0611
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323809-31
WI
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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