Individual
EBONESS BRIANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3427 N 46TH ST, MILWAUKEE, WI 53216-3332
(414) 406-1001
Mailing address
3427 N 46TH ST, MILWAUKEE, WI 53216-3332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
141829
WI
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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