RYATISIMA TISHARA BLUE

WHITEWATER, WI
NPI1568720795
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  302318-31)
Enumeration Date2012-04-25
Last Update Date2012-04-25
Business Address
Ms. RYATISIMA TISHARA BLUE LPN
1130 BLOOMINGFIELD DR APT 19
WHITEWATER, WI 53190-2652
Phone number: 262-215-3379
Mailing Address
Ms. RYATISIMA TISHARA BLUE LPN
1130 BLOOMINGFIELD DR APT 19
WHITEWATER, WI 53190-2652
Phone number: 262-215-3379
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