Individual
KRISTINE BESHARAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-5900
Mailing address
1282 VILLAGE CENTRE DR UNIT 5, KENOSHA, WI 53144-7260
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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