ANNA MARIE BORT

RACINE, WI
NPI1689956229
Former NameANNA MARIE PETERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  304505-31)
Enumeration Date2011-09-09
Last Update Date2011-09-09
Business Address
Mrs. ANNA MARIE BORT LPN
2031 CHARLES ST
RACINE, WI 53402-4609
Phone number: 262-637-5302
Mailing Address
Mrs. ANNA MARIE BORT LPN
2031 CHARLES ST
RACINE, WI 53402-4609
Phone number: 262-637-5302