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Individual

MRS. BRIDGET DESIREE ZANZUCCHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
6314 31ST ST, KENOSHA, WI 53144-7303
(262) 605-1282
Mailing address
6314 31ST ST, KENOSHA, WI 53144-7303
(262) 605-1282

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125535-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38330400
WI
Enumeration date
08/21/2009
Last updated
08/21/2009
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