Individual
DENITA LEE-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3910 W ROCHELLE AVE, MILWAUKEE, WI 53209-2345
(414) 861-3637
Mailing address
3910 W ROCHELLE AVE, MILWAUKEE, WI 53209-2345
(414) 861-3637
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
WI
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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