MS. Shuntell Dominique Newsome

NPI #1144783325 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1144783325
Entity Type: Individual
Name: MS. Shuntell Dominique Newsome
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chore Provider
Enumeration Date: Apr 13, 2019
Last Updated: Apr 13, 2019

Practice Location

Address: 4500 N 71ST ST
City: Milwaukee
State: Wisconsin
ZIP Code: 53218-5411
Phone: (414) 552-0026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary

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