Individual
TAMIRA SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 N 68TH ST, MILWAUKEE, WI 53218-3904
(414) 982-0392
Mailing address
4940 N 68TH ST, MILWAUKEE, WI 53218-3904
(414) 982-0392
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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