Individual
MR. JARMAINE LEE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4533 N 67TH STREET, MILWAUKEE, WI 53218
(414) 461-2977
(414) 461-2977
Mailing address
4533 N 67TH STREET, MILWAUKEE, WI 53218
(414) 461-2977
(414) 461-2977
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
306353-031
WI
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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