Organization
W.O.M.B LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATEESHA NEWMAN (MANAGER)
(414) 841-8486
Entity
Organization
Contact information
Practice address
1332 S 6TH ST, MILWAUKEE, WI 53204-2803
(414) 841-8486
Mailing address
2478 N 55TH ST, MILWAUKEE, WI 53210-2743
(414) 841-8486
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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