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Individual

CAROL ANNE ZIMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC LAC

Contact information

Practice address
525 LOTUS BLOSSOM LANE, OCEAN VIEW, HI 96737
(808) 929-9229
Mailing address
POB 445, NAALEHU, HI 96772
(808) 929-9229

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
524
HI
171100000X
Acupuncturist
344
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
53629
HMSA
HI
Enumeration date
06/06/2007
Last updated
03/10/2008
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