NPI 1053082479
Layla Ali
Practice location
- Address
- 529 S. Jefferson St. Sut #107, Green Bay, WI 54301-5430
- Phone
- (612) 296-2798
- Mailing address
- 529 S. Jefferson St. Sut #107, Green Bay, WI 54301
Registered specialties
Contractor
Primary
Registry record
- NPI
- 1053082479
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Sep 2021
- Record last updated
- 24 Sep 2021
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.