Individual
VINNETTA ASHIRAH PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11414 W PARK PL, SUITE 202 - #3562, MILWAUKEE, WI 53224
(414) 526-7316
Mailing address
7607 W TOWNSEND ST STE 102, MILWAUKEE, WI 53222-3965
(414) 376-7200
(414) 935-2350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
246284-30
WI
Other
Enumeration date
08/23/2021
Last updated
06/28/2022
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