NAKIA DAISY KONWENT

RACINE, WI
NPI1063849669
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1869-19)
Enumeration Date2013-09-27
Last Update Date2013-10-10
Business Address
Mrs. NAKIA DAISY KONWENT PTA
6101 16TH ST
RACINE, WI 53406-4467
Phone number: 262-898-2777
Mailing Address
Mrs. NAKIA DAISY KONWENT PTA
6101 16TH ST
RACINE, WI 53406-4467
Phone number: 262-898-2777
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