Search › Wisconsin › 163WC0200X

Alicia Davis

NPI 1225361439 · on the registry since 2009 · sole proprietor

Practice

Address
4361 N 90th St
Milwaukee, WI 53222
Phone
(414) 464-9664

Registry record

Primary taxonomy
163WC0200X
163WC0200X
Also registered as
163W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-09-08

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