Individual
MRS. JEANNIE MARIE WASMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
7432 CAMIO AVE, COCOA, FL 32927-3062
(321) 960-8190
(321) 735-0243
Mailing address
7432 CAMIO AVE, COCOA, FL 32927-3062
(321) 960-8190
(321) 735-0243
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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