Individual
ANGELINA WYATT-JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3124 N 50TH ST, MILWAUKEE, WI 53216-3210
(414) 399-0134
Mailing address
PO BOX 76120, MILWAUKEE, WI 53216-7720
(414) 399-0134
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
218332
WI
Other
Enumeration date
05/21/2016
Last updated
05/21/2016
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