JACKIE C IVY

MILWAUKEE, WI
NPI1073874004
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  304996-31)
Enumeration Date2012-06-06
Last Update Date2024-08-26
Business Address
-- JACKIE C IVY LPN
333 N 29TH ST
MILWAUKEE, WI 53208-4204
Phone number: 414-241-9391
Mailing Address
-- JACKIE C IVY LPN
333 N. 29TH ST
MILWAUKEE, WI 53208-0000
Phone number:
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