Individual
ANTONYA BOATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2209 N DR MARTIN LUTHER KING JR DR STE 203, MILWAUKEE, WI 53212-3188
(602) 791-0397
Mailing address
2209 N DR MARTIN LUTHER KING JR DR STE 203, MILWAUKEE, WI 53212-3188
(602) 791-0397
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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