Individual
MS. SUZETTE REGINA KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4208 N 67TH ST, MILWAUKEE, WI 53216-1109
(414) 535-1778
(414) 535-1778
Mailing address
4208 N 67TH ST, MILWAUKEE, WI 53216-1109
(414) 535-1778
(414) 535-1778
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32431
WI
Other
Enumeration date
09/25/2010
Last updated
09/25/2010
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