Shalonda Booth
Shalonda Booth is a Health Maintenance Organization in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
4646 N 66th StMilwaukee, WI 53218-4820
Phone: (414) 702-8339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X (WI) |
|---|
Record details
| NPI number | 1558589887 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shalonda Booth — Registered Nurse · (414) 702-8339 |
| NPI enumerated | April 23, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 4646 N 66th St, Milwaukee, WI 53218-4820 |
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