Individual
MRS. DEBRA ANN WATFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5667 N 57TH ST, MILWAUKEE, WI 53218-2416
(414) 551-2066
(414) 455-8112
Mailing address
5667 N 57TH ST, MILWAUKEE, WI 53218-2416
(414) 551-2066
(414) 455-8112
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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