Mariceta Ann Govan
Mariceta Ann Govan is a Driver in Milwaukee, Wisconsin. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
333 W Brown Deer Rd # 507Milwaukee, WI 53217-2372
Phone: (414) 210-9959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1689327314 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 2, 2022 |
| Last updated in NPPES | February 2, 2022 |
| Certification date | October 28, 2021 |
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