Individual
WILLAMINA BANKSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2517 W HALSEY AVE, MILWAUKEE, WI 53221-2969
(262) 497-6382
Mailing address
2517 W HALSEY AVE, MILWAUKEE, WI 53221-2969
(262) 497-6382
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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