Individual
MISS KATHRYN CORIN ZOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1747 6TH ST NW, GRAND RAPIDS, MI 49504-4822
(616) 453-0842
Mailing address
2680 LEONARD ST NE, GRAND RAPIDS, MI 49525-6934
(616) 459-7101
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
030702081
MI
Other
Enumeration date
03/12/2007
Last updated
08/18/2020
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