Individual
TRACEY ZIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2050 FAIRMONT DR, SAN LEANDRO, CA 94578-1001
(510) 895-5502
Mailing address
2025 W AVENUE 136TH APT A, SAN LEANDRO, CA 94577-4158
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95264874
CA
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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