Individual
MS. HEATHER ELLEN MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
S2845 WHITE EAGLE RD, BARABOO, WI 53913-9064
(608) 355-5177
(608) 356-1233
Mailing address
S2845 WHITE EAGLE RD, BARABOO, WI 53913-9064
(608) 355-5177
(608) 356-1233
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0902238
CPHT
WI
Enumeration date
11/10/2020
Last updated
11/10/2020
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