Individual
MRS. PHLESIA ANN HODGES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4422 N 84TH ST, MILWAUKEE, WI 53225-5104
(414) 535-9717
Mailing address
2270 CHEROKEE ST, GRAFTON, WI 53024-9338
(262) 375-4135
(262) 375-4135
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38202600
—
WI
Enumeration date
05/05/2006
Last updated
07/08/2007
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