Search › Wisconsin › 171M00000X
Johnelle Smith
NPI 1598335911 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3365 N 53rd St
Milwaukee, WI 53216 - Phone
- (414) 722-7304
- Organisation at this address
- Big Mama House Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Female
- Record last updated
- 2021-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin