Individual
BONNIE MATRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 W MAIN ST APT 208, WATERTOWN, WI 53094-3559
(920) 245-1589
Mailing address
1007 W MAIN ST APT 208, WATERTOWN, WI 53094-3559
(920) 245-1589
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
221888
WI
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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