Individual
MRS. FREDRIKA LYNETTE PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5831 N 60TH ST, MILWAUKEE, WI 53218-2042
(414) 466-5840
Mailing address
5831 N 60TH ST, MILWAUKEE, WI 53218-2042
(414) 466-5840
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305011031
WI
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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