Organization
TALITHA CUMI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIANA JENKINS (ADMINISTRATOR)
(800) 866-4855
Entity
Organization
Contact information
Practice address
6239 WEST BOEHLKE AVENUE, TIANA M. JENKINS, MLWAUKEE, WI 53223
(800) 866-4855
Mailing address
6239 WEST BOEHLKE AVENUE, TIANA M. JENKINS, MLWAUKEE, WI 53223
(800) 866-4855
Taxonomy
Speciality
Code
Description
License number
State
1744R1103X
Research Study Abstracter/Coder
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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