Individual
HANI A ISMAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
524 19TH AVE W, MENOMONIE, WI 54751-3154
(612) 703-6969
Mailing address
524 19TH AVE W, MENOMONIE, WI 54751-3154
(612) 703-6969
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0021300
WI
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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