Individual
SHANTERA J COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2186 N 53RD ST, MILWAUKEE, WI 53208-1007
(262) 899-0398
Mailing address
2186 N 53RD ST, MILWAUKEE, WI 53208-1007
(262) 899-0398
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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