CATIE FERN PONTEL

WALWORTH, WI
NPI1396010468
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: WI  1652-019)
Enumeration Date2012-03-21
Last Update Date2012-08-27
Business Address
-- CATIE FERN PONTEL PTA
270 RIDGE RD
WALWORTH, WI 53184-9526
Phone number: 262-275-2317
Mailing Address
-- CATIE FERN PONTEL PTA
W4929 PADDOCK DR
ELKHORN, WI 53121-3106
Phone number: 414-687-9526