SOSAMMA M OOMMEN

KENOSHA, WI
NPI1497031470
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WI  13725-040)
Enumeration Date2011-10-22
Last Update Date2011-10-22
Business Address
-- SOSAMMA M OOMMEN
3820 52ND ST
KENOSHA, WI 53144-2624
Phone number: 262-652-9665
Mailing Address
-- SOSAMMA M OOMMEN
3820 52ND ST
KENOSHA, WI 53144-2624
Phone number: 262-652-9665