Organization
AETERNA LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYA WESTMORELAND (OWNER)
(414) 403-5567
Entity
Organization
Contact information
Practice address
7505 W THURSTON AVE, MILWAUKEE, WI 53218-2264
(414) 301-3661
Mailing address
7505 W THURSTON AVE, MILWAUKEE, WI 53218-2264
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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