Individual
JENICA ANN LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2420 S LINCOLN MEMORIAL DR, MILWAUKEE, WI 53207-1902
(414) 747-7110
Mailing address
2420 S LINCOLN MEMORIAL DR, MILWAUKEE, WI 53207-1902
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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