Individual
LATASHA DUPRIEST-WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBRF/DIRECTOR
Contact information
Practice address
4054 N 71ST ST, MILWAUKEE, WI 53216-1026
(414) 758-8382
Mailing address
4054 N 71ST ST, MILWAUKEE, WI 53216-1026
(414) 758-8382
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D1625368564808
WI
Other
Enumeration date
12/11/2016
Last updated
12/11/2016
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