Individual
CARLA L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3709 N. 41ST STREET, MILWAUKEE, WI 53216-3044
(414) 499-7270
Mailing address
3709 N 41ST ST, MILWAUKEE, WI 53216-3044
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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