Mrs. ANITA BOULOM PA-C ⚕️ Wisconsin 1184213555

NPI	1184213555
Entity Type	Individual
Gender	Female
Sole Proprietor ?	No
Primary Taxonomy	363A00000X Physician Assistant (Licence: WI 5192-23)
Enumeration Date	2021-01-11
Last Update Date	2021-01-11

Mrs. ANITA BOULOM PA-C

3400 DEERFIELD DR

JANESVILLE, WI 53546-3557

Phone number: 608-314-3600

Mrs. ANITA BOULOM PA-C

700 UNIVERSITY BAY DR APT 315

MADISON, WI 53705-2268

Phone number: 469-348-5497