Individual
GLORIA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2932 N 61ST ST, MILWAUKEE, WI 53210-1404
(414) 998-8051
Mailing address
2932 N 61ST ST, MILWAUKEE, WI 53210-1404
(414) 998-8051
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
WI
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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