Organization
WIC PRENATAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY POINTER (ADMINISTRATOR)
(414) 839-2691
Entity
Organization
Contact information
Practice address
11414 W PARK PL STE 202, MILWAUKEE, WI 53224-3500
(414) 839-2691
Mailing address
11414 W PARK PL STE 202, MILWAUKEE, WI 53224-3500
(414) 839-2691
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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