Organization
TREE OF LIFE PRENATAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANECIA TATE (OWNER)
(414) 795-8009
Entity
Organization
Contact information
Practice address
9401 W BELOIT RD STE 313, MILWAUKEE, WI 53227-4357
(414) 409-6802
Mailing address
9401 W BELOIT RD STE 313, MILWAUKEE, WI 53227-4357
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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