Individual
KENSINGTON NAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
3409 N DOWNER AVE, MILWAUKEE, WI 53211-2934
(414) 229-3914
Mailing address
1676 N VAN BUREN ST APT 4, MILWAUKEE, WI 53202-2079
(920) 246-5410
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
07/22/2020
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