NPI 1013264886

Shawana M Williams

Practitioner Vehicle Modifications Contractor Milwaukee, WI

Practice location

Address: 10213 W Fondulac Ave 237, Milwaukee, WI 53224-5183
Phone: (414) 551-6872

Registered specialties

Vehicle Modifications Contractor Primary

Other Service Providers Taxonomy 171WV0202X Licence W4527937874605 (WI)

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Registry record

NPI: 1013264886
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2012
Record last updated: 10 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.