Individual
JEZZEL DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 8TH AVE, KENOSHA, WI 53140-3700
(262) 564-0067
(262) 652-1411
Mailing address
5500 8TH AVE, KENOSHA, WI 53140-3700
(262) 564-0067
(262) 652-1411
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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