Individual
JENICE NGIRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1635 WISCONSIN AVE, RACINE, WI 53403-2729
(224) 704-2917
Mailing address
1635 WISCONSIN AVE, RACINE, WI 53403-2729
(224) 704-2917
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1086481-30
WI
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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