CENTAJIAH CHANTALA STATEN

MILWAUKEE, WI
NPI1356019574
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: WI  390544)
Enumeration Date2021-09-01
Last Update Date2021-09-01
Business Address
CENTAJIAH CHANTALA STATEN
5474 N 56TH ST
MILWAUKEE, WI 53218-3218
Phone number: 414-249-8974
Mailing Address
CENTAJIAH CHANTALA STATEN
5474 N 56TH ST
MILWAUKEE, WI 53218-3218
Phone number: 414-249-8974
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