EDITA D TUBONGBANUA

MILWAUKEE, WI
NPI1588946065
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: WI  118267-030)
Enumeration Date2011-09-12
Last Update Date2011-09-12
Business Address
-- EDITA D TUBONGBANUA
6556 N 87TH ST
MILWAUKEE, WI 53224-5424
Phone number: 414-353-8269
Mailing Address
-- EDITA D TUBONGBANUA
6556 N 87TH ST
MILWAUKEE, WI 53224-5424
Phone number: 414-353-8269
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