Individual
MS. MARILYN KAY ZAKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
153936-30
Contact information
Practice address
1407 SAINT ANDREW ST STE 100, LA CROSSE, WI 54603-2378
(608) 785-6266
Mailing address
314 GREEN ACRES AVE, TOMAH, WI 54660-1366
(608) 372-0776
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
153936-30
WI
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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