Individual
KHALILAH MICHELLE LATIKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4619 W FOND DU LAC AVE, MILWAUKEE, WI 53216-2422
(414) 736-0713
Mailing address
4519 W FOND DU LAC AVE, MILWAUKEE, WI 53216-2401
(414) 736-0713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1101943-30
WI
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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