Individual
JESSICA BARSZCZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3066 W POINT RD, GREEN BAY, WI 54313-5442
(920) 264-5204
Mailing address
3066 W POINT RD, GREEN BAY, WI 54313-5442
(920) 264-5204
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
31722331
WI
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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