Individual
MS. CHRISTA JEAN PROUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2001-32ND STREET, KENOSHA, WI 53140-2208
(262) 515-6771
Mailing address
2001-32ND STREET, KENOSHA, WI 53140-2208
(262) 515-6771
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305156-31
WI
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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