Individual
LAQUANDA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12201 W NORTH AVE STE 102C, WAUWATOSA, WI 53226-2061
(414) 369-1086
Mailing address
12201 W NORTH AVE STE 102C, WAUWATOSA, WI 53226-2061
(414) 369-1086
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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