Individual
DENESHA QUANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6556 N 51ST ST, MILWAUKEE, WI 53223-6010
(414) 231-0821
Mailing address
6556 N 51ST ST, MILWAUKEE, WI 53223-6010
(414) 231-0821
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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