CORINE BAUMSTARK

RACINE, WI
NPI1194134130
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  301697)
Enumeration Date2014-08-04
Last Update Date2014-08-04
Business Address
-- CORINE BAUMSTARK
1903 ENGLISH ST
RACINE, WI 53404-2360
Phone number: 262-995-5629
Mailing Address
-- CORINE BAUMSTARK
1903 ENGLISH ST
RACINE, WI 53404-2360
Phone number: 262-995-5629