YELENA IVANOVA

KENOSHA, WI
NPI1265754485
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  15104)
Enumeration Date2010-02-16
Last Update Date2010-02-16
Business Address
Mrs. YELENA IVANOVA
4100 52ND ST
KENOSHA, WI 53144-3900
Phone number: 262-658-0902
Mailing Address
Mrs. YELENA IVANOVA
4100 52ND ST
KENOSHA, WI 53144-3900
Phone number: 262-658-0902
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