SearchWisconsin163W00000X

Latrice Wallace, RN

NPI 1326637042 · on the registry since 2021 · sole proprietor

Practice

Address
7009 N 43rd St # 7a
Milwaukee, WI 53209
Phone
(414) 574-8984

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin