Organization
YVETTES PAMPERED PNCC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHE-RA LATOYA JOHNSON (CEO)
(414) 303-1269
Entity
Organization
Contact information
Practice address
4632 S 20TH ST APT 2, MILWAUKEE, WI 53221-2878
(414) 303-1269
Mailing address
4632 S 20TH ST APT 2, MILWAUKEE, WI 53221-2878
(414) 303-1269
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/11/2023
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