Individual
MRS. CAROL L REDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSE PRACTICAL NU
Contact information
Practice address
5041 N 57TH ST, MILWAUKEE, WI 53218-4243
(414) 243-6484
Mailing address
5041 N 57TH ST, MILWAUKEE, WI 53218-4243
(414) 243-6484
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310132-031
WI
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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