person
Etta Dean Robertson
Driver in Milwaukee, Wisconsin
NPI 1285306100

Etta Dean Robertson is a Driver based in Milwaukee, WI. Etta Dean Robertson practices in Milwaukee, WI. The NPI Number for Etta Dean Robertson is 1285306100 and holds a License No. R1632048689103 (Wisconsin).

The current practice location address for Etta Dean Robertson is 3100 N 75Th St, Milwaukee, WI and can be reached out via phone at 414-793-6595.

Location: 3100 N 75Th St, Milwaukee, WI, 53216-2742
person
Provider Profile Details
NPI Number
1285306100
Provider Name
Etta Dean Robertson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3100 N 75Th St, Milwaukee, WI, 53216-2742
Phone Number
414-793-6595
Fax Number
Provider Enumeration Date
09/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3100 N 75Th St
City
State
Zip
53216-2742
Phone Number
414-793-6595
Fax Number
person
Provider Business Mailing Address Details
Address
3100 N 75Th St
City
State
Zip
53216-2742
Phone Number
414-793-6595
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
R1632048689103 (Wisconsin)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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