Organization
JENNINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNINE ANTIONETTE EASLEY REGISTERED NURSE (INDEPENDENT CARE GIVER)
(414) 795-5753
Entity
Organization
Contact information
Practice address
717 LAND PL, MILWAUKEE, WI 53205-2358
(414) 795-5753
Mailing address
717 LAND PL, MILWAUKEE, WI 53205-2358
(414) 795-5753
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
200568-30
WI
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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