Individual
LAFREDDRIA HANNIBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4029 N 72ND ST, MILWAUKEE, WI 53216-1033
(262) 510-3784
Mailing address
9450 PINECROFT DR, SPRING, TX 77380-3220
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
06/28/2024
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