Individual
JANA TETZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
108 E NORTH ST, FRIENDSHIP, WI 53934-9443
(608) 339-4505
Mailing address
108 E NORTH ST, FRIENDSHIP, WI 53934-9443
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2010
Last updated
09/07/2010
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