Organization
SAFE WITH US
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMION LEWIS BROWN (OWNER)
(414) 578-8138
Entity
Organization
Contact information
Practice address
4067 N 19TH ST, MILWAUKEE, WI 53209-6803
(414) 578-8138
Mailing address
4067 N 19TH ST, MILWAUKEE, WI 53209-6803
(414) 578-8138
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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