Individual
LATAYSHA S AJALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9050B N 95TH ST, MILWAUKEE, WI 53224-6861
(262) 453-1892
Mailing address
9050B N 95TH ST, MILWAUKEE, WI 53224-6861
(262) 453-1892
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WI
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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