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Individual

TATIANA TESIA WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3258 N 1ST ST, MILWAUKEE, WI 53212-2061
(414) 522-5692
Mailing address
4145 N 14TH ST, MILWAUKEE, WI 53209-6906
(414) 522-5692

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
246RP1900X
Phlebotomy Technician
M2H5L6E2
WI

Other

Enumeration date
11/08/2021
Last updated
11/10/2024
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