Individual
DOMINIQUE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4731 W LEON TER, MILWAUKEE, WI 53216-2332
(414) 241-0945
Mailing address
4731 W LEON TER, MILWAUKEE, WI 53216-2332
(414) 241-0945
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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