Individual
JASMINE MONIQUE BALDERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
(414) 604-6964
Mailing address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
(414) 604-6964
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
326596
CA
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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