Individual
BRENDA A WAOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1720 N COMMERCE ST, MILWAUKEE, WI 53212-4035
(414) 759-1553
Mailing address
1720 N COMMERCE ST, MILWAUKEE, WI 53212-4035
(414) 759-1553
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84-2725379
—
WI
Enumeration date
04/16/2020
Last updated
04/16/2020
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