Individual
LILIANA LEGUIZAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3409 N DOWNER AVE, MILWAUKEE, WI 53211-2934
(224) 425-8535
Mailing address
415 KELLER AVE, WAUKEGAN, IL 60085-5029
(224) 425-8535
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
07/08/2022
Last updated
07/09/2022
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