MR. Keith Leotis Cosby SR.

NPI #1518645936 in Woodruff, Wisconsin

Provider Information

NPI Number
1518645936
Entity Type
Individual
Name
MR. Keith Leotis Cosby SR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Jul 6, 2023
Last Updated
Jul 6, 2023

Practice Location

Address
8937 THEIS DR
ZIP Code
54568-9630
Phone
(541) 706-1374

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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