Individual provider · NPI-1
Jeannie Marie Wasmer, SA-C
Specialist/Technologist, Other, Surgical Technologist · Cocoa, FL
NPI number1215082292
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1215082292
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jeannie Marie Wasmer
- Credential
- SA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZS0410X | Specialist/Technologist, Other, Surgical Technologist | – | – | Yes |
Other names
- Jeannie Marie Hinkle (Former Name)
Practice location
7432 Camio AveCocoa, FL 32927-3062
Phone 321-960-8190 · Fax 321-735-0243
Mailing address
7432 Camio AveCocoa, FL 32927-3062
Phone 321-960-8190 · Fax 321-735-0243
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