MYLAI TENNER

MILWAUKEE, WI
NPI1073915419
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2014-09-17
Last Update Date2014-09-17
Business Address
-- MYLAI TENNER
2838 N 1ST ST
MILWAUKEE, WI 53212-2404
Phone number: 414-312-7729
Mailing Address
-- MYLAI TENNER
2838 N 1ST ST
MILWAUKEE, WI 53212-2404
Phone number: 414-312-7729
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