Individual
JAMIQUA LATRECE MARIE HARRIS-MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 S GREENBAY RD, MT PLEASANT, WI 53406-4410
(262) 583-9398
Mailing address
1540 S GREENBAY RD, MT PLEASANT, WI 53406-4410
(262) 583-9398
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WI
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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