Individual
MRS. ANITA BOULOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 DEERFIELD DR, JANESVILLE, WI 53546-3557
(608) 314-3600
Mailing address
700 UNIVERSITY BAY DR APT 315, MADISON, WI 53705-2268
(469) 348-5497
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5192-23
WI
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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