RALF LANGE

PLEASANT PRAIRIE, WI
NPI1578844536
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-09-06
Last Update Date2011-09-06
Business Address
Mr. RALF LANGE
9544 11TH AVE
PLEASANT PRAIRIE, WI 53158-4912
Phone number: 910-545-1253
Mailing Address
Mr. RALF LANGE
9544 11TH AVE
PLEASANT PRAIRIE, WI 53158-4912
Phone number: 910-545-1253