Individual
NICOLE ABDULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7811 N 78TH ST, MILWAUKEE, WI 53223-3919
(414) 839-8695
Mailing address
7811 N 78TH ST, MILWAUKEE, WI 53223-3919
(414) 839-8695
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A134-6377-6919-06
WI
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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