Individual
MONICA FORTUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12201 W NORTH AVE STE 102F, WAUWATOSA, WI 53226-2094
(414) 231-3479
Mailing address
12201 W NORTH AVE STE 102F, WAUWATOSA, WI 53226-2094
(414) 231-3479
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WI
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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