Organization
CONFIANZA FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MALENA CASTILLO (CHIEF EXECUTIVE OFFICER)
(414) 628-0368
Entity
Organization
Contact information
Practice address
10514 W BLUEMOUND RD STE 101, WAUWATOSA, WI 53226-4366
(414) 459-9559
Mailing address
10514 W BLUEMOUND RD STE 101, WAUWATOSA, WI 53226-4366
(414) 459-4599
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1946
WI
Other
Enumeration date
04/26/2016
Last updated
05/17/2016
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