Individual
MRS. ESTEFANIA L OCAMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 S UNION ST, MILWAUKEE, WI 53204-2646
(414) 249-3547
(414) 249-3957
Mailing address
1318 NORTH ST, RACINE, WI 53402-3375
(262) 210-4003
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0016594
WI
Other
Enumeration date
08/08/2020
Last updated
08/08/2020
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