Individual
JAMAAL BAASHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3324 W PABST AVE, MILWAUKEE, WI 53215-2828
(414) 514-4915
Mailing address
3324 W PABST AVE, MILWAUKEE, WI 53215-2828
(414) 514-4915
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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