Deborah Payton
Driver in Milwaukee, WI. Individual provider (NPI-1).
NPI number1104697481
StatusActive
Last updated in NPPESJan 19, 2024
Details
- NPI
- 1104697481
- Entity type
- Individual (NPI-1)
- Name
- Deborah Payton
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2024
- Certification date
- Jan 19, 2024
- Last updated
- Jan 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | P350-1608-8928-07 | WI | Yes |
Practice location
4915 N 105th StMilwaukee, WI 53225-3918
Phone 262-349-5276
Mailing address
4915 N 105th StMilwaukee, WI 53225-3918
Phone 262-349-5276
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All 172 Driver providers in Milwaukee · All 23,880 providers in Milwaukee
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