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She-ra Latoya Johnson
Non-emergency Medical Transport (VAN) in Milwaukee, Wisconsin
NPI 1245901636

She-ra Latoya Johnson is a Non-emergency Medical Transport (VAN) based in Milwaukee, WI. She-ra Latoya Johnson practices in Milwaukee, WI. The NPI Number for She-ra Latoya Johnson is 1245901636 and holds a License No. J5257928790608 (Wisconsin).

The current practice location address for She-ra Latoya Johnson is 4329 N 91St St, Milwaukee, WI and can be reached out via phone at 414-303-1269.

Location: 4329 N 91St St, Milwaukee, WI, 53222-1611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245901636
Provider Name
She-ra Latoya Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
4329 N 91St St, Milwaukee, WI, 53222-1611
Phone Number
414-303-1269
Fax Number
Provider Enumeration Date
09/24/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100175329 05 WI
institution
Provider Business Practice Location Address Details
Address
4329 N 91St St
City
Milwaukee
State
Wisconsin
Zip
53222-1611
Phone Number
414-303-1269
Fax Number
person
Provider Business Mailing Address Details
Address
4329 N 91St St
City
Milwaukee
State
Wisconsin
Zip
53222-1611
Phone Number
414-303-1269
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
J5257928790608 (Wisconsin)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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