Individual
DEAIJAH ZHANYLAH FRISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8712 W FAIRY CHASM DR, MILWAUKEE, WI 53224-1814
(262) 232-4355
Mailing address
8712 W FAIRY CHASM DR, MILWAUKEE, WI 53224-1814
(262) 232-4435
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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