Individual
TAMMY RENEE VIRGIL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4332 N 38TH ST, MILWAUKEE, WI 53216-1728
(414) 871-2643
Mailing address
4332 N 38TH ST, MILWAUKEE, WI 53216-1728
(414) 871-2643
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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