Kawana Latrice Hickman LPN

NPI 1164484515 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1164484515
Gender Female
Enumeration Date 04/03/2006
Last Updated 10/05/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
3423 N 57TH ST
MILWAUKEE WI, 53216-2842, US
Phone (414) 828-7202
Fax
Business Location
PO BOX 100442
MILWAUKEE WI, 53210-0442, US
Phone (414) 828-7202
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Wisconsin
License Number 302249-031
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According to our database, Miss Kawana Latrice Hickman LPN NPI is 1164484515, taxonomy code is 164W00000X and license number is 302249-031, license state is located at Wisconsin. Kawana Latrice Hickman LPN physically located at 3423 N 57th St, Milwaukee WI, 53216-2842. NPI Number Kawana Latrice Hickman LPN has the Individual type.

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1164484515 NPI number is provided on an as is basis without warranty of any kind. 1164484515 is maintained by the National Plan & Provider Enumeration System. The contents of Kawana Latrice Hickman LPN are for informational purposes only.