Individual
MS. MONIQUE JEAN ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8603 W GREEN BROOK DR, MILWAUKEE, WI 53224-2126
(414) 313-4872
Mailing address
PO BOX 90253, MILWAUKEE, WI 53209-0253
(414) 313-4872
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
31282331
WI
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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