Individual
MS. TAMECA NICOLE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2645 N MAYFAIR RD, MILWAUKEE, WI 53226-1304
(414) 509-7114
(414) 509-7114
Mailing address
2645 N MAYFAIR RD, MILWAUKEE, WI 53226-1304
(414) 509-7114
(414) 509-7114
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
153529-30
WI
Other
Enumeration date
09/28/2019
Last updated
09/28/2019
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