Individual
MRS. TRAMAINE DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W241N7418 OLD OAK DR, SUSSEX, WI 53089-5405
(414) 588-6837
Mailing address
W241N7418 OLD OAK DR, SUSSEX, WI 53089-5405
(414) 588-6837
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
146580-30
WI
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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