NPI 1063243384

Tytiana Monquie Brumley

Practitioner Driver Milwaukee, WI

Practice location

Address: 903 N 37th St, Milwaukee, WI 53208-3102
Phone: (773) 412-0102
Mailing address: 9227 N 75th St, Milwaukee, WI 53223-1120

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1063243384
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Aug 2024
Record last updated: 8 Aug 2024

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.