Individual
SUSAN M ZIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
9142 DOLES RD, PO B 417, IVOR, VA 23866-0417
(757) 859-9142
Mailing address
PO BOX 417, 9142 DOLES RD., IVOR, VA 23866-0417
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000317
VA
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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