Individual
BONNIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 896-8430
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 896-8430
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
160109
WI
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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