Individual
AIMEE PEACE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
5325 W BURLEIGH ST, MILWAUKEE, WI 53210-1623
(414) 810-0550
Mailing address
5325 W BURLEIGH ST, MILWAUKEE, WI 53210-1623
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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