Individual
ORLANDO REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8436 W LISBON AVE, MILWAUKEE, WI 53222-3768
(414) 433-7740
Mailing address
5601 W BURLEIGH ST APT 2, MILWAUKEE, WI 53210-1566
(414) 499-6086
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
WI
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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