Individual
MRS. JENNIFER LYNN MOKER CZUBAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6523 ROMONA AVE, WAUWATOSA, WI 53213-2967
(414) 870-3182
Mailing address
6523 ROMONA AVE, WAUWATOSA, WI 53213-2967
(414) 870-3182
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
133838
WI
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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