Individual
DERRICK LASHAWN SANDLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9218 N 60TH ST, MILWAUKEE, WI 53223-1502
(262) 349-6839
Mailing address
9218 N 60TH ST, MILWAUKEE, WI 53223-1502
(262) 349-6839
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
WI
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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