Individual
MS. JILL RENAE ZIMMERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC, PHN
Contact information
Practice address
9433 PARKSIDE CT, CHAMPLIN, MN 55316-2604
(763) 486-8123
Mailing address
9433 PARKSIDE CT, CHAMPLIN, MN 55316-2604
(763) 486-8123
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R112787-2
MN
Other
Enumeration date
04/29/2012
Last updated
04/29/2012
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