KRISTEN BASAK

WAUWATOSA, WI
NPI1881979839
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: WI  155414-030)
Enumeration Date2011-10-20
Last Update Date2011-10-20
Business Address
-- KRISTEN BASAK BSN, RN
10063 W LISBON AVE
WAUWATOSA, WI 53222
Phone number: 847-309-3073
Mailing Address
-- KRISTEN BASAK BSN, RN
10063 W LISBON AVE
WAUWATOSA, WI 53222
Phone number: 847-309-3073
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