Individual
MS. KHADIJJA SABIAH ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6611 N BOURBON ST, MILWAUKEE, WI 53224-5151
(414) 975-2376
Mailing address
6611 N BOURBON ST, MILWAUKEE, WI 53224-5151
(414) 975-2376
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
302847-031
WI
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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