Individual
EBONY J JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1957 W VILLARD AVE APT 1, MILWAUKEE, WI 53209-5063
(414) 380-2757
Mailing address
1957 W VILLARD AVE APT 1, MILWAUKEE, WI 53209-5063
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
DRN-25-01623
WI
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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