Individual
JOSETTE REENE PAIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2943 N 11TH LN, MILWAUKEE, WI 53206-2772
(414) 323-9395
(414) 837-3142
Mailing address
2943 N 11TH LN, MILWAUKEE, WI 53206-2772
(414) 323-9395
(414) 837-3142
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
P2004367967309
WI
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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