Individual
KYLEE ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 VERSAILLES AVE, BISMARCK, ND 58503-0357
(701) 934-0645
Mailing address
409 2ND AVE NW, MANDAN, ND 58554-3043
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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