Organization
TINY TOES PRENATAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY JOHNSON (OWNER)
(414) 213-7073
Entity
Organization
Contact information
Practice address
10412 W CUSTER AVE, MILWAUKEE, WI 53225-3218
(414) 213-7073
Mailing address
10412 W CUSTER AVE, MILWAUKEE, WI 53225-3218
(414) 213-7073
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/11/2020
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