Individual
ROSHAY MICHELLE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4303 N 66TH ST, MILWAUKEE, WI 53216-1102
(414) 364-4009
Mailing address
4303 N 66TH ST, MILWAUKEE, WI 53216-1102
(414) 364-4009
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430366
APP.CARDBOARDIT.COM
WI
Enumeration date
08/03/2020
Last updated
08/03/2020
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