Organization
MIRACLES PRENATAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORINE JACKSON (OWNER)
(414) 213-7041
Entity
Organization
Contact information
Practice address
2569 N 11TH ST, MILWAUKEE, WI 53206-3128
(414) 213-7041
Mailing address
2569 N 11TH ST, MILWAUKEE, WI 53206-3128
(414) 213-7041
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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