Individual
JONI MARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N3150 HWY 81, MONROE, WI 53566-9397
(608) 328-9390
(608) 325-7575
Mailing address
N3150 HWY 81, MONROE, WI 53566-9397
(608) 328-9390
(608) 325-7575
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41521400
—
WI
Enumeration date
02/18/2008
Last updated
02/18/2008
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