Individual
MELISSA CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6635 W SPOKANE ST, MILWAUKEE, WI 53223-5442
(414) 331-2704
Mailing address
6635 W SPOKANE, MIILEAUKEE, WI 53223
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303905
WI
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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