Individual
LATANYA HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 S NICHOLSON AVE, UNIT 2, CUDAHY, WI 53110-1361
(414) 241-6855
Mailing address
4550 S NICHOLSON AVE, UNIT 2, CUDAHY, WI 53110-1361
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
185926-30
WI
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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