Individual
PRECIOUS CRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4135 N 84TH ST, MILWAUKEE, WI 53222-1813
(414) 467-4077
Mailing address
4135 N 84TH ST, MILWAUKEE, WI 53222-1813
(414) 795-2679
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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