RICHARD A BOLISENGA

MIDLOTHIAN, IL
NPI1588329494
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183700000X Pharmacy Technician
(Licence: IL  049.241981)
Enumeration Date2021-11-04
Last Update Date2021-11-04
Business Address
RICHARD A BOLISENGA
3812 148TH ST
MIDLOTHIAN, IL 60445-3415
Phone number: 312-415-0058
Mailing Address
RICHARD A BOLISENGA
3812 148TH ST
MIDLOTHIAN, IL 60445-3415
Phone number: 312-415-0058