Individual
MRS. KIARRA EVANICE DAMPHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18375 TAYWOOD CIR APT 102, BROOKFIELD, WI 53045-5696
(262) 825-5081
Mailing address
18375 TAYWOOD CIR APT 102, BROOKFIELD, WI 53045-5696
(262) 825-5081
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
265167
WI
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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