ANITA BOULOM

JANESVILLE, WI
NPI1184213555
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  5192-23)
Enumeration Date2021-01-11
Last Update Date2021-01-11
Business Address
MRS. ANITA BOULOM PA-C
3400 DEERFIELD DR
JANESVILLE, WI 53546-3557
Phone number: 608-314-3600
Mailing Address
MRS. ANITA BOULOM PA-C
700 UNIVERSITY BAY DR APT 315
MADISON, WI 53705-2268
Phone number: 469-348-5497