Jill Marie Bock Valid NPI

Individual provider · Licensed Practical Nurse · Watertown, WI

NPI

1144566555

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

304900-31 (WI)

Sex

Female

Sole proprietor

Yes

Enumerated

2012-12-13

Last updated

2012-12-13