Individual
ANN MARIE SUMMERRISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
102 CHIPPENHAM DR APT H, YORKTOWN, VA 23693-2843
(210) 568-7135
Mailing address
102 CHIPPENHAM DR APT H, YORKTOWN, VA 23693-2843
(210) 568-7135
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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