Organization
A MOMMYS PROMISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYSHAWN WILLIAMS (OWNER)
(414) 526-8077
Entity
Organization
Contact information
Practice address
4822 N 66TH ST, MILWAUKEE, WI 53218-4032
(414) 526-8077
Mailing address
4822 N 66TH ST, MILWAUKEE, WI 53218-4032
(414) 526-8077
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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