Individual
ZANDRA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2357 W MASON ST, GREEN BAY, WI 54303-4708
(920) 337-6740
Mailing address
2357 W MASON ST, GREEN BAY, WI 54303-4708
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
331501
WI
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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