LISA SUE RISTAU

KENOSHA, WI
NPI1952476632
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  6917-016)
Enumeration Date2006-11-21
Last Update Date2007-07-09
Business Address
-- LISA SUE RISTAU RDH
4536 22ND AVE
KENOSHA, WI 53140-5917
Phone number: 262-656-0044
Mailing Address
-- LISA SUE RISTAU RDH
4607 19TH AVE LOWR
KENOSHA, WI 53140-3249
Phone number: 262-705-6789
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