Individual
STEPHANIE ALISHA JEWELL DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4730 N 80TH ST, MILWAUKEE, WI 53218-4618
(414) 841-1120
Mailing address
4730 N 80TH ST, MILWAUKEE, WI 53218-4618
(414) 841-1120
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0019815
WI
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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