Individual
ANGELICA SHEKIRRA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT FAMILY HOME
Contact information
Practice address
1269 SMITH ST, GREEN BAY, WI 54302-1432
(920) 461-6735
Mailing address
1269 SMITH ST, GREEN BAY, WI 54302-1432
(920) 461-6735
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
WI
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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