Individual
DEANNA HANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7406 W DERBY PL, MILWAUKEE, WI 53218-4742
(262) 883-5093
Mailing address
7406 W DERBY PL, MILWAUKEE, WI 53218-4742
(262) 883-5093
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71121
—
WI
Enumeration date
04/26/2022
Last updated
04/26/2022
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