Provider Demographics
NPI:1306077151
Name:ZIELINSKI, JOLANTA (LVN)
Entity type:Individual
Prefix:
First Name:JOLANTA
Middle Name:
Last Name:ZIELINSKI
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 PIEDMONT ST
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-1512
Mailing Address - Country:US
Mailing Address - Phone:619-397-0549
Mailing Address - Fax:619-397-0549
Practice Address - Street 1:1505 PIEDMONT ST
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-1512
Practice Address - Country:US
Practice Address - Phone:619-397-0549
Practice Address - Fax:619-397-0549
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA210540164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse