Individual
MRS. L'SHAY NIKKOL MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1834 W WISCONSIN AVE STE 200, MILWAUKEE, WI 53233-2105
(414) 935-2004
Mailing address
1834 W WISCONSIN AVE STE 200, MILWAUKEE, WI 53233-2105
(414) 935-2004
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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