Individual
SHALONDA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 W CLYBOURN, MILWAUKEE, WI 53233
(404) 399-2105
Mailing address
2130 W CLYBOURN ST, MILWAUKEE, WI 53233-2510
(404) 399-2105
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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