Individual
JENNA ZIETZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1376 RIDGEWAY AVE, SHERIDAN, WY 82801-2488
(303) 305-9471
Mailing address
1376 RIDGEWAY AVE, SHERIDAN, WY 82801-2488
(303) 305-9471
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-65702
WY
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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