Individual
LENEAL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4939 N 36TH ST, MILWAUKEE, WI 53209-5304
(414) 446-0771
Mailing address
4939 N 36TH ST, MILWAUKEE, WI 53209-5304
(414) 446-0771
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
H6205238744801
WI
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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