Individual
BENJAMIN D ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1128 BROADWAY ST, LONGVIEW, WA 98632-3831
(360) 261-6930
Mailing address
1128 BROADWAY ST, LONGVIEW, WA 98632-3831
(360) 261-6930
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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