Individual
MRS. CHRISTINE PARADERO ROSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11104 61ST ST, KENOSHA, WI 53142-7262
(262) 857-2505
Mailing address
11104 61ST ST, KENOSHA, WI 53142-7262
(262) 857-2505
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
145211-030
WI
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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