Individual
KEONDA MILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 REGENCY CT STE L104, BROOKFIELD, WI 53045-6184
(262) 788-5020
Mailing address
200 REGENCY CT STE L104, BROOKFIELD, WI 53045-6184
(262) 788-5020
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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