Individual
MYLAI TENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2838 N 1ST ST, MILWAUKEE, WI 53212-2404
(414) 312-7729
(262) 364-2044
Mailing address
2838 N 1ST ST, MILWAUKEE, WI 53212-2404
(414) 312-7729
(262) 364-2044
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
WI
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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