Individual
SHYLA MARIE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(509) 496-1488
Mailing address
1915 GREENFIELD AVE, NORTH CHICAGO, IL 60064-2628
(509) 496-1488
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
05/14/2024
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