Individual
TAMESHIA D MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7624 N 78TH ST, MILWAUKEE, WI 53223-3971
(262) 838-2246
Mailing address
7624 N 78TH ST, MILWAUKEE, WI 53223-3971
(262) 838-2246
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
AEV3959
WI
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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