Individual
MISS GLADYS MARIE LOCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4912 N 44TH ST, MILWAUKEE, WI 53218-4404
(414) 536-4281
Mailing address
4912 N 44TH ST, MILWAUKEE, WI 53218-4404
(414) 536-4281
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
WI
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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