Individual
KIMBERLEY NICHOLE WISSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 827-9067
Mailing address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 827-9067
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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