Individual
EMONIE S PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 N 19TH ST, MILWAUKEE, WI 53209-6433
(414) 617-6364
Mailing address
PO BOX 91798, MILWAUKEE, WI 53209-8798
(414) 617-6364
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
WI
172A00000X
Driver
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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