Organization
ZIMSHINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASPER MUKWADA FNP-BC (OWNER/LICENSEE)
(269) 267-9739
Entity
Organization
Contact information
Practice address
7483 W Q AVE, KALAMAZOO, MI 49009-8987
(269) 267-9739
Mailing address
7483 W Q AVE, KALAMAZOO, MI 49009-8987
(269) 267-9739
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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