Individual
AISHA VAN BOMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N51W16911 OLD HICKORY RD, MENOMONEE FALLS, WI 53051-7502
(262) 373-0150
(262) 718-7677
Mailing address
N51W16911 OLD HICKORY RD, MENOMONEE FALLS, WI 53051-7502
(262) 373-0150
(262) 718-7677
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
149905-30
WI
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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