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Individual

MISS KINA REBECCA KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAREGIVER

Contact information

Practice address
4308 N 67TH ST, MILWAUKEE, WI 53216-1111
(414) 241-3798
Mailing address
4308 N 67TH ST, MILWAUKEE, WI 53216-1111
(414) 241-3798

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
376K00000X
WI

Other

Enumeration date
09/15/2010
Last updated
09/15/2010
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