Individual
AMY E ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 589-9691
Mailing address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 589-9691
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2023643
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023643
LICENSURE
CO
Enumeration date
03/01/2021
Last updated
03/01/2021
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