Individual
LATRINA MONIQUE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2814 S 108TH ST, WEST ALLIS, WI 53227-3224
(414) 885-3525
Mailing address
2561 N 40TH ST, MILWAUKEE, WI 53210-3018
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
147215-30
WI
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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