Individual
MRS. DEBRA JEAN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
W188S6323 GOLD DR, MUSKEGO, WI 53150-9468
(262) 895-9802
Mailing address
W188S6323 GOLD DR, MUSKEGO, WI 53150-9468
(262) 895-9802
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310263-031
WI
Other
Enumeration date
03/30/2009
Last updated
01/28/2022
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