Individual
MRS. TANYA ROCHELLE CONSTABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4920 N 85TH ST, MILWAUKEE, WI 53225-4209
(414) 379-0076
Mailing address
4920 N 85TH ST, MILWAUKEE, WI 53225-4209
(414) 379-0076
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
281585
WI
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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