Individual
ISIOMA JEWEL EZEKIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5450 W GREEN TREE RD, MILWAUKEE, WI 53223-5289
(414) 852-7858
Mailing address
5450 W GREEN TREE RD, MILWAUKEE, WI 53223-5289
(414) 852-7858
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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