Provider Demographics
NPI:1528716750
Name:ZONDO, JATTY D (NURSING ASSISTANT)
Entity type:Individual
Prefix:
First Name:JATTY
Middle Name:D
Last Name:ZONDO
Suffix:
Gender:F
Credentials:NURSING ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 6TH ST SW
Mailing Address - Street 2:
Mailing Address - City:WADENA
Mailing Address - State:MN
Mailing Address - Zip Code:56482-1928
Mailing Address - Country:US
Mailing Address - Phone:612-688-7661
Mailing Address - Fax:612-688-7672
Practice Address - Street 1:815 6TH ST SW
Practice Address - Street 2:
Practice Address - City:WADENA
Practice Address - State:MN
Practice Address - Zip Code:56482-1928
Practice Address - Country:US
Practice Address - Phone:612-688-7661
Practice Address - Fax:612-688-7672
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health