Individual
TERRI R CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 CARRUTHERS ST, SARDIS, MS 38666-3474
(414) 899-3030
Mailing address
4478 N 72ND ST, MILWAUKEE, WI 53218-5420
(414) 899-3030
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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