Individual
MS. BARBARA TALASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2000 DOMANIK DR, RACINE, WI 53404-2910
(262) 676-5805
Mailing address
2000 DOMANIK DR, RACINE, WI 53404-2910
(262) 676-5805
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
12446-031
WI
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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