NPI 1083194591
Tamaka Tysionia Smith
Practice location
- Address
- 615 Blake Ave, South Milwaukee, WI 53172-3923
- Phone
- (574) 703-4531
- Mailing address
- 3521 N 54th Blvd, Milwaukee, WI 53216-2803
Registered specialties
Attendant Care Provider
Primary
Registry record
- NPI
- 1083194591
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Aug 2018
- Record last updated
- 23 May 2025
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.