CLAUDE LATAILLE

MILWAUKEE, WI
NPI1558448977
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  2190)
Enumeration Date2006-11-01
Last Update Date2011-11-15
Business Address
-- CLAUDE LATAILLE NP
3056 S KINNICKINNIC AVE
MILWAUKEE, WI 53207-2583
Phone number: 414-769-4904
Mailing Address
-- CLAUDE LATAILLE NP
4425 N PORT WASHINGTON RD ATTN: CSMCP CLINIC CREDENTIALING
GLENDALE, WI 53212-1082
Phone number: 414-769-4904
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