SearchWisconsin171W00000X

Jasmine Gray

NPI 1639788698 · on the registry since 2020

Practice

Address
1300 N Vel R Phillips Ave Apt 301
Milwaukee, WI 53212
Phone
(141) 455-1541
Fax
(414) 551-5416

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-07-27

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