Organization
A NEW LIGHT PRENATAL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZETTE ROSE ALLEN (PROPRIETOR)
(414) 234-3169
Entity
Organization
Contact information
Practice address
1915 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-3675
(414) 234-3169
Mailing address
4740 W GREEN TREE RD, MILWAUKEE, WI 53223-5325
(414) 234-3169
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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