Most Relevant Information
Provider Data
| NPI Number: | 1003517483 |
| Provider Name: | TIARA ANTHONY |
| Entity Type: | Individual |
| Taxonomy Code: | 385H00000X |
| Specialty: | Respite Care |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/13/2023 |
| Last Updated: | 03/13/2023 |
Provider Practice Location
2515 W AUER AVE
MILWAUKEE
WI
532061223
Practice Location Phone/Fax
| Phone: | 9095591744 |
| Fax: |
Provider Mailing Location
2515 W AUER AVE
MILWAUKEE
WI
532061223
Provider Mailing Phone/Fax
| Phone: | 9095591744 |
| Fax: |