SearchWisconsin343900000X

Comikia Price

NPI 1568876670 · on the registry since 2014 · sole proprietor

Practice

Address
3936 N 40th St
Milwaukee, WI 53216
Phone
(414) 550-4007
Fax
(414) 445-6280

Registry record

Primary taxonomy
343900000X
343900000X
Also registered as
344600000X
347C00000X
347E00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-06-17

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