Individual
TAMMY T OLIPHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5266 N 69TH ST, MILWAUKEE, WI 53218-3934
(414) 534-5044
Mailing address
5266 N 69TH ST, MILWAUKEE, WI 53218-3934
(414) 534-5044
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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