Provider Demographics
NPI:1073798823
Name:JOSEPH, VIOLETTA PATRIEA (PCW CERTIFICATION)
Entity Type:Individual
Prefix:MS
First Name:VIOLETTA
Middle Name:PATRIEA
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:PCW CERTIFICATION
Other - Prefix:
Other - First Name:VIOLETTA
Other - Middle Name:PATRICA
Other - Last Name:DUMAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2117 N 42ND STREET
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53208-2117
Mailing Address - Country:US
Mailing Address - Phone:414-873-6263
Mailing Address - Fax:414-873-6263
Practice Address - Street 1:2117 N 42ND STREET
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53208-2117
Practice Address - Country:US
Practice Address - Phone:414-873-6263
Practice Address - Fax:414-873-6263
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health