Tamara Charnette Love LPN

NPI 1265677108 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1265677108
Gender Female
Enumeration Date 12/05/2008
Last Updated 01/29/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
2314 N 114TH ST
WAUWATOSA WI, 53226-1226, US
Phone (262) 794-6477
Fax (414) 231-3677
Business Location
2314 N 114TH ST
WAUWATOSA WI, 53226-1226, US
Phone (262) 794-6477
Fax (414) 231-3677
Toxanomy
Taxonomy Code 164W00000X
License State Wisconsin
License Number 305566-31
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According to our database, Mrs. Tamara Charnette Love LPN NPI is 1265677108, taxonomy code is 164W00000X and license number is 305566-31, license state is located at Wisconsin. Tamara Charnette Love LPN physically located at 2314 N 114th St, Wauwatosa WI, 53226-1226. NPI Number Tamara Charnette Love LPN has the Individual type.

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1265677108 NPI number is provided on an as is basis without warranty of any kind. 1265677108 is maintained by the National Plan & Provider Enumeration System. The contents of Tamara Charnette Love LPN are for informational purposes only.