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Tamara D Summerville
Driver in West Allis, Wisconsin
NPI 1811761166

Tamara D Summerville is a Driver based in West Allis, WI. Tamara D Summerville practices in West Allis, WI. The NPI Number for Tamara D Summerville is 1811761166 and holds a License No. (Wisconsin).

The current practice location address for Tamara D Summerville is 1967 S 102Nd St, West Allis, WI and can be reached out via phone at 414-248-0052. You can also correspond with Tamara D Summerville through the mailing address at 1967 S 102ND ST, WEST ALLIS, WI - 53227-1384 (mailing address contact number: 414-248-0052).

Location: 1967 S 102Nd St, West Allis, WI, 53227-1384
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811761166
Provider Name
Tamara D Summerville
Credential
Provider Entity Type
Individual
Gender
Female
Address
1967 S 102Nd St, West Allis, WI, 53227-1384
Phone Number
414-248-0052
Fax Number
Provider Enumeration Date
11/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1967 S 102Nd St
City
West Allis
State
Wisconsin
Zip
53227-1384
Phone Number
414-248-0052
Fax Number
person
Provider Business Mailing Address Details
Address
1967 S 102Nd St
City
West Allis
State
Wisconsin
Zip
53227-1384
Phone Number
414-248-0052
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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