Individual
MR. ELONZO MANNING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COORDINATOR
Contact information
Practice address
3128 N 50TH ST, MILWAUKEE, WI 53216-3210
(414) 817-2000
Mailing address
3128 N 50TH ST, MILWAUKEE, WI 53216-3210
(414) 731-2140
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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