Individual
DEJUANA FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2868 N 41ST ST, MILWAUKEE, WI 53210-1810
(414) 218-0205
Mailing address
2868 N 41ST ST, MILWAUKEE, WI 53210-1810
(414) 218-0205
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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