Most Relevant Information
Provider Data
| NPI Number: | 1003011362 |
| Provider Name: | JEAN A ZIEMBA RN |
| Entity Type: | Individual |
| Taxonomy Code: | 374T00000X |
| Specialty: | Religious Nonmedical Nursing Personnel |
| License Number: | 512062-1 |
Most Important Dates
| Enumeration Date: | 06/18/2007 |
| Last Updated: | 07/09/2007 |
Provider Practice Location
25 CHAUCER CIR
BALDWINSVILLE
NY
130278254
Practice Location Phone/Fax
| Phone: | 3156351517 |
| Fax: |
Provider Mailing Location
1113 N GLENCOVE RD
SYRACUSE
NY
132062302
Provider Mailing Phone/Fax
| Phone: | 3154338546 |
| Fax: |