Individual
SAVANNAH JADE BAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 773-4312
Mailing address
2258 N 66TH ST, WAUWATOSA, WI 53213-2038
(262) 283-4648
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15699146
WI
Other
Enumeration date
03/19/2022
Last updated
03/19/2022
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