KAWANA LATRICE HICKMAN

MILWAUKEE, WI
NPI1164484515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  302249-031)
Enumeration Date2006-04-03
Last Update Date2012-10-05
Business Address
Miss KAWANA LATRICE HICKMAN LPN
3423 N 57TH ST
MILWAUKEE, WI 53216-2842
Phone number: 414-828-7202
Mailing Address
Miss KAWANA LATRICE HICKMAN LPN
PO BOX 100442
MILWAUKEE, WI 53210-0442
Phone number: 414-828-7202
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