Individual
MARY MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT FAMILY HOME
Contact information
Practice address
8825 W THURSTON AVE, MILWAUKEE, WI 53225-2830
(414) 839-9937
Mailing address
8825 W THURSTON AVE, MILWAUKEE, WI 53225-2830
(414) 839-9937
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
370657
WI
Other
Enumeration date
07/08/2018
Last updated
07/08/2018
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