Individual
MARQUITA J CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4537 N 27TH ST, MILWAUKEE, WI 53209-6109
(414) 442-1577
Mailing address
4537 N 27TH ST, MILWAUKEE, WI 53209-6109
(414) 442-1577
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306043-031
WI
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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