Individual
MS. CHARMAINE SHERESE BOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10437 W JONEN ST, MILWAUKEE, WI 53224-5126
(414) 461-5387
Mailing address
10437 W JONEN ST, MILWAUKEE, WI 53224-5126
(414) 461-5387
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306046-031
WI
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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