DEBRA KAYE PRUDHOM

RACINE, WI
NPI1073582326
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: WI  80117)
Enumeration Date2006-03-17
Last Update Date2007-07-09
Business Address
Mrs. DEBRA KAYE PRUDHOM RN
3613 KINZIE AVE
RACINE, WI 53405-2440
Phone number: 262-632-4394
Mailing Address
Mrs. DEBRA KAYE PRUDHOM RN
3613 KINZIE AVE
RACINE, WI 53405-2440
Phone number: 262-632-4394