Individual
BRYAN ANTHONY RONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1748 BELOIT AVE, JANESVILLE, WI 53546-3031
(608) 774-8249
Mailing address
421 OAKLAND AVE, JANESVILLE, WI 53545-4137
(608) 774-8249
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
DCQ-122301574
WI
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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