Individual
SHAKUUR ISSA CAWAALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 W LAPHAM BLVD APT 301, MILWAUKEE, WI 53204-3437
(414) 299-9564
Mailing address
921 W LAPHAM BLVD APT 301, MILWAUKEE, WI 53204-3437
(414) 299-9564
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
0038879
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038879
TRANSPORTATION
WI
Enumeration date
09/20/2021
Last updated
09/20/2021
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