Individual
TERESA M DE LA GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2054 S 77TH ST, WEST ALLIS, WI 53219-1111
(414) 550-4696
(414) 800-1499
Mailing address
2054 S 77TH ST, WEST ALLIS, WI 53219-1111
(414) 550-4696
(414) 800-1499
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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