HEIDI A LAROSA

NEW BERLIN, WI
NPI1083881601
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: WI  5565-024)
Enumeration Date2008-05-13
Last Update Date2008-05-13
Business Address
HEIDI A LAROSA PT
12830 W PEACHTREE DR
NEW BERLIN, WI 53151-7623
Phone number: 414-858-9706
Mailing Address
HEIDI A LAROSA PT
12830 WEST PEACHTREE DR
NEW BERLIN, WI 53151
Phone number: 414-858-9706