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Individual

CARMEN JOYCE HARDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
803 W GALENA ST, # 478, MILWAUKEE, WI 53205-2238
(414) 562-5159
Mailing address
803 W GALENA ST, # 478, MILWAUKEE, WI 53205-2238
(414) 562-5159

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32141-031
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35029700
WI
Enumeration date
08/16/2007
Last updated
09/05/2008
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