NICHOLAS PENTEK

FOND DU LAC, WI
NPI1326529876
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: WI  232791)
Enumeration Date2018-08-23
Last Update Date2018-08-23
Business Address
NICHOLAS PENTEK
459 E 1ST ST
FOND DU LAC, WI 54935-4505
Phone number: 920-929-3542
Mailing Address
NICHOLAS PENTEK
459 E 1ST ST
FOND DU LAC, WI 54935-4505
Phone number: 920-929-3542