THERESA L MADISON

MILWAUKEE, WI
NPI1740423029
Former NameTHERESA L CARVER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  33521-031)
Enumeration Date2009-04-15
Last Update Date2009-04-15
Business Address
-- THERESA L MADISON
3927 N 37TH ST
MILWAUKEE, WI 53216-2510
Phone number: 414-875-8042
Mailing Address
-- THERESA L MADISON
3927 N 37TH ST
MILWAUKEE, WI 53216-2510
Phone number: 414-875-8042
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