DOMINIQUE WALLACE

MILWAUKEE, WI
NPI1265324511
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: WI  W4201789495600)
Enumeration Date2025-07-18
Last Update Date2025-07-18
Business Address
DOMINIQUE WALLACE
3739 N 38TH ST
MILWAUKEE, WI 53216-3011
Phone number: 262-672-3139
Mailing Address
DOMINIQUE WALLACE
3739 N 38TH ST
MILWAUKEE, WI 53216-3011
Phone number: 262-672-3139
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