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JEANNETTE PONDER

Nursing Care, Pediatric

Milwaukee, Wisconsin

Provider NPI: 1356303101

Organization Information:
Organization Name:  JEANNETTE PONDER


Practice Location:
3152 N 24TH PL  MILWAUKEE, WI 53206 US
Tel: 414-447-1489  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3140N1450XNursing & Custodial Care Facilities
Skilled Nursing Facility
Nursing Care, Pediatric
WI11818

Other Provider Identifiers:

IssuerNumberStateType
39973100WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




PEDIATRIC NURSING JOBS WI - Page 1



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