SearchWisconsin164W00000X

Gloria Davis, LICENSE PRACTICAL NU

NPI 1578875050 · on the registry since 2010

Practice

Address
4368 N. 52nd Street
Milwaukee, WI 53216
Phone
(414) 712-6760

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-07-13

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