KIMBERLY BANACH

WIND LAKE, WI
NPI1326491002
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  320837)
Enumeration Date2016-07-19
Last Update Date2016-07-19
Business Address
-- KIMBERLY BANACH
6730 PARK LN
WIND LAKE, WI 53185-2704
Phone number: 262-844-9734
Mailing Address
-- KIMBERLY BANACH
6730 PARK LN
WIND LAKE, WI 53185-2704
Phone number: 262-844-9734