Individual
LADONNA JENIQUE GLADNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NDTR, CPT
Contact information
Practice address
608 E CLARKE ST, MILWAUKEE, WI 53212-2925
(866) 252-2989
Mailing address
3332 N 78TH ST, MILWAUKEE, WI 53222-3920
(866) 252-2989
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
WI
Other
Enumeration date
08/20/2021
Last updated
11/19/2021
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