Individual
MARIANNA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2745 N 20TH ST, MILWAUKEE, WI 53206-1603
(414) 702-3928
Mailing address
2745 N 20TH ST, MILWAUKEE, WI 53206-1603
(414) 702-3928
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
WI
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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