Individual
FOLASHADE OLUBUKOLA LONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5070 N 23RD ST, MILWAUKEE, WI 53209-5661
(414) 238-5341
Mailing address
5070 N 23RD ST, MILWAUKEE, WI 53209-5661
(414) 238-5341
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
000000
WI
Other
Enumeration date
11/23/2024
Last updated
11/23/2024
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