TYRA B LEA

MILWAUKEE, WI
NPI1932400850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  308747031)
Enumeration Date2010-11-09
Last Update Date2010-11-09
Business Address
-- TYRA B LEA
7323 N 86TH ST
MILWAUKEE, WI 53224-4115
Phone number: 414-326-7312
Mailing Address
-- TYRA B LEA
PO BOX 250554
MILWAUKEE, WI 53225-6507
Phone number: 414-326-7312
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