Individual
ELLEN THERESA NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH PROVIDER
Contact information
Practice address
6676 N 77TH ST APT 5, MILWAUKEE, WI 53223-5638
(407) 853-1807
Mailing address
6676 N 77TH ST APT 5, MILWAUKEE, WI 53223-5638
(407) 853-1807
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0
WI
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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