Individual
BRENDA L FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2800 W MILL RD, UNIT E, MILWAUKEE, WI 53209-3238
(414) 544-2005
Mailing address
2800 W MILL RD, UNIT E, MILWAUKEE, WI 53209-3238
(414) 544-2005
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305200-031
WI
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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