Organization
EQUALITY PAYEE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA J KIMBRO MS (PRESIDENT)
(414) 375-4760
Entity
Organization
Contact information
Practice address
12605 W NORTH AVE # 307, BROOKFIELD, WI 53005-4629
(414) 375-4760
(877) 293-3775
Mailing address
12605 W NORTH AVE # 307, BROOKFIELD, WI 53005-4629
(414) 375-4760
(877) 293-3775
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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