Individual
ANICA MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2210 S 108TH ST, WEST ALLIS, WI 53227-1108
(414) 982-0987
Mailing address
2210 S 108TH ST, WEST ALLIS, WI 53227-1108
(414) 982-0987
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
WI
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
12/28/2023
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