KIMBERLY BOUDREAUX

MOUNT PLEASANT, WI
NPI1124385406
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  6369-016)
Enumeration Date2012-04-11
Last Update Date2012-04-11
Business Address
Ms. KIMBERLY BOUDREAUX RDH
5559 DEERFIELD RD
MOUNT PLEASANT, WI 53406-1819
Phone number: 262-770-1824
Mailing Address
Ms. KIMBERLY BOUDREAUX RDH
5559 DEERFIELD RD
MOUNT PLEASANT, WI 53406-1819
Phone number: 262-770-1824