AMIE JABANG

MADISON, WI
NPI1760946628
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: WI  24362030)
Enumeration Date2019-01-24
Last Update Date2019-01-24
Business Address
AMIE JABANG
534 AZTALAN DR
MADISON, WI 53718-3205
Phone number: 608-445-2399
Mailing Address
AMIE JABANG
534 AZTALAN DR
MADISON, WI 53718-3205
Phone number: 608-445-2399