Individual
MISS CZAKA BOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 MEADOWLANE AVE, MOUNT PLEASANT, WI 53406-4421
(262) 664-5933
Mailing address
1441 MEADOWLANE AVE, MOUNT PLEASANT, WI 53406-4421
(262) 664-5933
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0019428
WI
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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