Individual
MRS. MARY GERALYN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7239 N RIVER RD, WEST BEND, WI 53090-1216
(262) 334-1359
Mailing address
7239 N RIVER RD, WEST BEND, WI 53090-1216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
185996-30
WI
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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