CHRISTA JEAN PROUD

KENOSHA, WI
NPI1376920033
Former NameCHRISTA JEAN YOUNG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  305156-31)
Enumeration Date2015-05-01
Last Update Date2015-05-01
Business Address
Ms. CHRISTA JEAN PROUD LPN
2001-32ND STREET
KENOSHA, WI 53140-2208
Phone number: 262-515-6771
Mailing Address
Ms. CHRISTA JEAN PROUD LPN
2001-32ND STREET
KENOSHA, WI 53140-2208
Phone number: 262-515-6771
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