Individual
SHAWANA M WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10213 W FONDULAC AVE 237, MILWAUKEE, WI 53224-5183
(414) 551-6872
Mailing address
10213 W FONDULAC AVE, 237, MILWAUKEE, WI 53224-5183
(414) 551-6872
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
W4527937874605
WI
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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