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NPI Code Detail

MEDICARE: AFTAN SNEED

MEDICARE:   AFTAN  SNEED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1215258710
Entity Type Code : Individual
Provider Name (Legal Business Name) : AFTAN SNEED
Provider Business Mailing Address
First Line : 3331 WEST NORTH AVEUNE
Second Line : 307
City : MILWAUKEE
State : WI
Zip : 53208
Country : US
Telephone Number : 414-449-8976
Fax Number :
Provider Business Practice Location Address
First Line : 3331 W NORTH AVE
Second Line : 307
City : MILWAUKEE
State : WI
Zip : 53208-1400
Country : US
Telephone Number : 414-449-8976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2010
Last Update Date : 06/18/2010

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Directions to “ AFTAN SNEED ” Practice Location

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