Individual
EURIKA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9510 W GOODRICH AVE, MILWAUKEE, WI 53224-2734
(414) 640-9848
Mailing address
9510 W GOODRICH AVE, MILWAUKEE, WI 53224-2734
(414) 640-9848
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0017002
WI
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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