Individual
SHONEKQA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1433 N WATER ST, MILWAUKEE, WI 53202-2557
(414) 378-3113
Mailing address
3010 N 58TH ST, MILWAUKEE, WI 53210-1545
(414) 378-3113
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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