Individual
KATHLEEN TRUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2257 BALSAN WAY, WELLINGTON, FL 33414-6435
(561) 795-5545
Mailing address
2257 BALSAN WAY, WELLINGTON, FL 33414-6435
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
008172
NY
363AM0700X
Medical Physician Assistant
Primary
PA9102588
FL
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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