Individual
MISS TASHEIKA THIREE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6467 N 52ND ST, MILWAUKEE, WI 53223-6011
(414) 899-7486
(414) 797-4487
Mailing address
6467 N 52ND ST, MILWAUKEE, WI 53223-6011
(414) 899-7486
(414) 797-4487
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A3528288074707
WI
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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