Individual
WANDA BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3315 W BURGUNDY CT, MEQUON, WI 53092-5202
(262) 853-1344
(414) 908-9548
Mailing address
3315 W BURGUNDY CT, MEQUON, WI 53092-5202
(262) 853-1344
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
WI
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
08/28/2023
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