Individual
MARY RITA ZLEVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2306 SPRING ST, RACINE, WI 53405-1841
(262) 412-6331
Mailing address
2306 SPRING ST, RACINE, WI 53405-1841
(262) 412-6331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
178282-030
WI
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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