NPI 1922825769

Jasmine Bova Gray

Practitioner Home Health Aide South Milwaukee, WI

Practice location

Address: 1315 Marion Ave, South Milwaukee, WI 53172-3007
Phone: (414) 795-1710
Mailing address: 1236 Crane Meadow Way, Sun Prairie, WI 53590-9010

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1922825769
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Sep 2024
Record last updated: 23 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.