MERVIN K NTABA

GLENDALE, WI
NPI1578885323
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  309706-031)
Enumeration Date2010-02-22
Last Update Date2010-02-22
Business Address
Mr. MERVIN K NTABA
5211 N MOHAWK AVE
GLENDALE, WI 53217-5022
Phone number: 414-405-3133
Mailing Address
Mr. MERVIN K NTABA
5211 N MOHAWK AVE
GLENDALE, WI 53217-5022
Phone number: 414-405-3133
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