Individual
RUDOLPH ALPHONSO LITCHMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9296 N 70TH ST, MILWAUKEE, WI 53223-1108
(262) 505-7462
Mailing address
9296 N 70TH ST, MILWAUKEE, WI 53223-1108
(262) 505-7462
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
1009195090
WI
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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