AMANDA MARIE BALES

WEST BEND, WI
NPI1720745920
Former NameAMANDA MARIE OWEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  21101-40)
Enumeration Date2021-11-22
Last Update Date2021-11-22
Business Address
AMANDA MARIE BALES PharmD
1515 W PARADISE DR
WEST BEND, WI 53095-9794
Phone number: 262-334-9860
Mailing Address
AMANDA MARIE BALES PharmD
1515 W PARADISE DR
WEST BEND, WI 53095-9794
Phone number: 262-334-9860