Individual
HABEBAH SALIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4873 S 14TH ST APT 1, MILWAUKEE, WI 53221-2871
(414) 406-6482
Mailing address
4873 S 14TH ST APT 1, MILWAUKEE, WI 53221-2871
(414) 406-6482
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
WI
Other
Enumeration date
09/09/2021
Last updated
09/13/2021
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