Individual
DAWN DESIREE DIVIRGILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 E HARTFORD AVE, MILWAUKEE, WI 53211-3159
(414) 229-4852
Mailing address
435 E WILBUR AVE, MILWAUKEE, WI 53207-3343
(813) 454-5392
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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