Individual
HEAVEN BODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3707 W GOOD HOPE RD APT 7, MILWAUKEE, WI 53209-2362
(414) 842-1275
Mailing address
3707 W GOOD HOPE RD APT 7, MILWAUKEE, WI 53209-2362
(414) 842-1275
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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