Individual
ANTOINETTE CORIN SALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9817 W LISBON AVE, MILWAUKEE, WI 53222-2406
(414) 477-4576
Mailing address
9817 W LISBON AVE, MILWAUKEE, WI 53222-2406
(414) 477-4576
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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