Umulger Hassan Gulleid LPN

NPI 1366721870 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1366721870
Gender Female
Enumeration Date 08/15/2011
Last Updated 08/15/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
6256 W PORT AVE
MILWAUKEE WI, 53223-4120, US
Phone (414) 371-1966
Fax
Business Location
6256 W PORT AVE
MILWAUKEE WI, 53223-4120, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Wisconsin
License Number 305551-031
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According to our database, Umulger Hassan Gulleid LPN NPI is 1366721870, taxonomy code is 164W00000X and license number is 305551-031, license state is located at Wisconsin. Umulger Hassan Gulleid LPN physically located at 6256 W Port Ave, Milwaukee WI, 53223-4120. NPI Number Umulger Hassan Gulleid LPN has the Individual type.

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1366721870 NPI number is provided on an as is basis without warranty of any kind. 1366721870 is maintained by the National Plan & Provider Enumeration System. The contents of Umulger Hassan Gulleid LPN are for informational purposes only.