Laquitta Bogan

NPI #1770359184 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1770359184
Entity Type: Individual
Name: Laquitta Bogan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date: Nov 27, 2023
Last Updated: Nov 27, 2023

Practice Location

Address: 3160 N 46TH ST
City: Milwaukee
State: Wisconsin
ZIP Code: 53216-3306
Phone: (414) 218-0952

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child	385HR2060X	Primary
Nurse's Aide	376K00000X

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