Individual
LATASHA GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8924 W BUTLER PL, MILWAUKEE, WI 53225-5002
(414) 639-3239
Mailing address
8924 W BUTLER PL, MILWAUKEE, WI 53225-5002
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/16/2021
Last updated
10/16/2021
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