BEREVON TAYSHAWN WYATT

MILWAUKEE, WI
NPI1114526068
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WI  14485-146)
Enumeration Date2020-10-21
Last Update Date2020-10-21
Business Address
BEREVON TAYSHAWN WYATT
3510 N OAKLAND AVE STE 206
MILWAUKEE, WI 53211-2746
Phone number: 414-915-4213
Mailing Address
BEREVON TAYSHAWN WYATT
1727 W KEEFE AVE
MILWAUKEE, WI 53206-2322
Phone number: 414-915-4213
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