ANDREA CAROL-KRUG BALISTER

BROOKFIELD, WI
NPI1356562078
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  31018-031)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
-- ANDREA CAROL-KRUG BALISTER LPN
14640 WOODLAND PL
BROOKFIELD, WI 53005-1112
Phone number: 262-790-0933
Mailing Address
-- ANDREA CAROL-KRUG BALISTER LPN
16660 DANE CT W
BROOKFIELD, WI 53005-1366
Phone number: 262-781-8646