Individual
JENA ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMF
Contact information
Practice address
401 PRAIRIE AVE, PONCA, NE 68770-7319
(712) 259-0836
Mailing address
401 PRAIRIE AVE, PONCA, NE 68770-7319
(712) 259-0836
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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