Individual
KAMEELA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 E JUNEAUE AVE. 511812, MILWAUKEE, WI 53203
(414) 336-4047
Mailing address
606 E JUNEAU AVE #511812, MILWAUKEE, WI 53203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
164307-030
WI
Other
Enumeration date
08/28/2016
Last updated
04/07/2020
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