Individual
MRS. KATHLEEN LADONNA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7658 N 78TH ST APT 8, MILWAUKEE, WI 53223-3962
(414) 207-2410
Mailing address
7658 N 78TH ST APT 8, MILWAUKEE, WI 53223-3962
(414) 207-2410
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
33306
WI
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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