Individual
SHARKITA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2713 W CONCORDIA AVE, MILWAUKEE, WI 53216-3835
(414) 499-9598
Mailing address
4434 N 39TH ST, MILWAUKEE, WI 53209-5802
(414) 309-4775
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
311ZA0620X
Adult Care Home Facility
Primary
0019338
WI
Other
Enumeration date
02/09/2023
Last updated
10/25/2023
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