Individual
SHANNON S BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 N 28TH ST, MILWAUKEE, WI 53208-2401
(414) 946-5525
Mailing address
1502 N 28TH ST, MILWAUKEE, WI 53208-2401
(414) 946-5525
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
WI
Other
Enumeration date
11/05/2021
Last updated
11/16/2021
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