Individual
MRS. JESSIE LEE ZUCNICK-KIMBUGWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4900 MERIDIAN ST, NORMAL, AL 35762
(256) 372-8458
(256) 372-8480
Mailing address
3806 FORCE DR NW, HUNTSVILLE, AL 35810-2302
(256) 372-8458
(256) 372-8480
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
914
AL
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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