SearchWisconsin343900000X

Lathea Brooks

NPI 1023525128 · on the registry since 2018 · sole proprietor

Practice

Address
6010 W Calumet Rd Apt 104
Milwaukee, WI 53223
Phone
(414) 202-7465
Fax
(414) 446-9916

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin