Individual
NORWI AISHA TOURAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5102 S NICHOLSON AVE, CUDAHY, WI 53110-1818
(414) 588-2517
Mailing address
5102 S NICHOLSON AVE, CUDAHY, WI 53110-1818
(414) 588-2517
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T600-6218-7641-03
WI
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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