Individual
DEANGELA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5926 N TEUTONIA AVE, MILWAUKEE, WI 53209-4148
(414) 690-3248
Mailing address
5926 N TEUTONIA AVE, MILWAUKEE, WI 53209-4148
(414) 690-3248
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
376G00000X
Nursing Home Administrator
—
WI
Other
Enumeration date
12/19/2020
Last updated
10/09/2024
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