Individual
VEGAS AMANIE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2463 S 19TH ST, MILWAUKEE, WI 53215-3007
(414) 204-0555
Mailing address
2463 S 19TH ST, MILWAUKEE, WI 53215-3007
(414) 204-0555
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
0020204
WI
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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