Individual
TAMYRA SHARYAN MCNUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7279 W MARINE DR, MILWAUKEE, WI 53223-2011
(262) 225-7356
Mailing address
7279 W MARINE DR, MILWAUKEE, WI 53223-2011
(262) 225-7356
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/19/2021
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