GENESIS I BUSTAMANTE VALLE

WEST MILWAUKEE, WI
NPI1710852454
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  332918-31)
Enumeration Date2025-10-10
Last Update Date2025-10-10
Business Address
GENESIS I BUSTAMANTE VALLE LPN
1610 MILLER PARK WAY STE 1600
WEST MILWAUKEE, WI 53214-3604
Phone number: 414-672-3801
Mailing Address
GENESIS I BUSTAMANTE VALLE LPN
1610 MILLER PARK WAY STE 1600
WEST MILWAUKEE, WI 53214-3604
Phone number: 414-672-3801
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