Individual
EMMILY ZINKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 W ADAMS ST, MANTENO, IL 60950-5201
(815) 954-3983
Mailing address
502 W ADAMS ST, MANTENO, IL 60950-5201
(815) 954-3983
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/06/2018
Last updated
05/06/2018
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