SearchWisconsin101YA0400X

Fredasharron Smith

NPI 1336685650 · on the registry since 2017

Practice

Address
3853 N 55th St
Milwaukee, WI 53216
Phone
(414) 366-9220

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-01-11

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