GEMONTASIA KIRIAQUA JACKSON

MILWAUKEE, WI
NPI1629841200
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy246RP1900X Technician, Pathology, Phlebotomy
Enumeration Date2023-11-06
Last Update Date2023-12-13
Business Address
GEMONTASIA KIRIAQUA JACKSON
2872 N 59TH ST
MILWAUKEE, WI 53210-1504
Phone number: 414-939-5802
Mailing Address
GEMONTASIA KIRIAQUA JACKSON
2872 N 59TH ST
MILWAUKEE, WI 53210-1504
Phone number: 414-939-5802
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