Organization
PRECIOUS MIRACLES PNCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWYANA DUNCAN REGISTERED NURSE (OWNER / OPERATOR / RN)
(414) 873-5367
Entity
Organization
Contact information
Practice address
2461 W BROWN ST, MILWAUKEE, WI 53205-1013
(414) 873-5367
Mailing address
2461 W BROWN ST, MILWAUKEE, WI 53205-1013
(414) 873-5367
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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