Individual
MS. CORAMAE F ELIASON-BUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2571 170TH ST., LUCK, WI 54853-3918
(715) 472-2025
Mailing address
2571 170TH ST., LUCK, WI 54853-3918
(715) 472-2025
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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