MOHAMEDDEQ A ISSE

MILWAUKEE, WI
NPI1780376798
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: WI  I200-5419-7001-07)
Enumeration Date2023-05-26
Last Update Date2023-05-26
Business Address
MOHAMEDDEQ A ISSE
5939 S 23RD ST
MILWAUKEE, WI 53221-4901
Phone number: 414-553-3574
Mailing Address
MOHAMEDDEQ A ISSE
5939 S 23RD ST
MILWAUKEE, WI 53221-4901
Phone number: 414-553-3574
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