Individual
JEANNETTE SROKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23 W SCOTT ST, FOND DU LAC, WI 54935-2342
(920) 926-0101
(920) 926-0060
Mailing address
W1877 CALMAR RD, MALONE, WI 53049-1321
(920) 904-5416
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
159435
WI
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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