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Individual

TINA ZELLER

Active
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Individual

TINA ZELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFM

Taxonomy

Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GFC000180
CA
01
PG0073849001
BLUE SHIELD OF CA
CA
Enumeration date
02/27/2018
Last updated
11/24/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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