Individual
MISS KATHLEEN A. ZACHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN,RCS
Contact information
Practice address
6992 E ROCK GROVE RD, ROCK CITY, IL 61070-9522
(815) 865-5925
Mailing address
6992 E ROCK GROVE RD, ROCK CITY, IL 61070-9522
(815) 865-5925
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
043-026812
IL
164W00000X
Licensed Practical Nurse
Primary
307654-031
WI
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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