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Individual

ARACELIS ALMESTICA-JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3546 W HENRY AVE, GREENFIELD, WI 53221-4637
(414) 421-6547
Mailing address
3944 N 21ST ST, MILWAUKEE, WI 53206-1969

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
322059-31
WI

Other

Enumeration date
09/13/2017
Last updated
09/13/2017
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