Individual
DUAA KAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
313 W SUMMERHILL PL, OAK CREEK, WI 53154-5040
(414) 881-0554
Mailing address
313 W SUMMERHILL PL, OAK CREEK, WI 53154-5040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
429810955
WI
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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