Individual
CAROLYN J JABLONSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4620 KENRICH DR, RACINE, WI 53402-5333
(262) 639-9291
Mailing address
4620 KENRICH DR, RACINE, WI 53402-5333
(262) 639-9291
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34236-031
WI
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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