JEANETTE S. BANTAMOI

MENASHA, WI
NPI1639292782
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  2817-154)
Enumeration Date2007-04-06
Last Update Date2007-07-08
Business Address
-- JEANETTE S. BANTAMOI
1550 MIDWAY PL
MENASHA, WI 54952-1165
Phone number: 920-727-8140
Mailing Address
-- JEANETTE S. BANTAMOI
1550 MIDWAY PL
MENASHA, WI 54952-1165
Phone number: 920-727-8140