Individual
FRED ANTHONY ZAPPA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6695 CLEARWATER CREEK DR, LINO LAKES, MN 55038-7705
(651) 895-4133
Mailing address
6695 CLEARWATER CREEK DR, LINO LAKES, MN 55038-7705
(651) 895-4133
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/04/2015
Last updated
11/05/2015
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