JESSICA PROM

MILWAUKEE, WI
NPI1659165413
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-07
Last Update Date2025-04-07
Business Address
JESSICA PROM MD
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226-3548
Phone number: 414-955-4575
Mailing Address
JESSICA PROM MD
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226-3548
Phone number: 414-955-4575