Individual
MS. REANA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3759 N 88TH ST, MILWAUKEE, WI 53222-2729
(414) 975-2334
Mailing address
10936 N PORT WASHINGTON RD # 121, MEQUON, WI 53092-5031
(414) 975-2334
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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