MARIE CHRYSTAL SOLOLA

KENOSHA, WI
NPI1467658195
Other NameM. CHRYSTAL SOLOLA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  4577)
Additional Taxonomies363A00000X Physician Assistant
(Licence: IL  85000396)
Enumeration Date2007-06-21
Last Update Date2022-05-05
Business Address
MARIE CHRYSTAL SOLOLA PAC
10400 75TH ST
KENOSHA, WI 53142
Phone number: 262-948-5600
Mailing Address
MARIE CHRYSTAL SOLOLA PAC
10400 75TH ST
KENOSHA, WI 53142-7884
Phone number: 262-948-5600