Individual
SHYVON S METCALF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4645 N 46TH ST, MILWAUKEE, WI 53218-5210
(414) 737-0335
Mailing address
4645 N 46TH ST, MILWAUKEE, WI 53218-5210
(414) 737-0335
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
08/27/2024
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