Individual
FABIOLA HUERTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11219 W CARMEN AVE, MILWAUKEE, WI 53225-2323
(414) 530-0124
Mailing address
11219 W CARMEN AVE, MILWAUKEE, WI 53225-2323
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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