Individual
RENITA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9528 W THURSTON AVE, MILWAUKEE, WI 53225-2622
(334) 543-5482
Mailing address
9528 W THURSTON AVE, MILWAUKEE, WI 53225-2622
(334) 543-5482
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321202
WI
Other
Enumeration date
02/05/2017
Last updated
02/05/2017
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