TRACIE BURNSIDE

MILWAUKEE, WI
NPI1073575817
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  303376-031)
Enumeration Date2006-04-05
Last Update Date2007-07-20
Business Address
Mrs. TRACIE BURNSIDE LPN
3272 N 82ND ST
MILWAUKEE, WI 53222-3839
Phone number: 414-442-6094
Mailing Address
Mrs. TRACIE BURNSIDE LPN
3272 N 82ND ST
MILWAUKEE, WI 53222-3839
Phone number: 414-442-6094
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