Individual
NEJIA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4644 N 53RD ST, MILWAUKEE, WI 53218-5011
(414) 916-6567
Mailing address
4644 N 53RD ST, MILWAUKEE, WI 53218-5011
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
WI
342000000X
Transportation Network Company
Primary
—
WI
343800000X
Secured Medical Transport (VAN)
—
—
Other
Enumeration date
04/08/2020
Last updated
01/27/2023
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