Individual
LYNNESHA CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4658A N 30TH ST, MILWAUKEE, WI 53209-6016
(414) 899-9748
Mailing address
4658A N 30TH ST, MILWAUKEE, WI 53209-6016
(414) 899-9748
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
C6205328081107
WI
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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