Gwendolyn Marie Zimmerer
Student in an Organized Health Care Education/Training Program in College Station, TX. Individual provider (NPI-1).
NPI number1699400192
StatusActive
Last updated in NPPESJul 19, 2022
Details
- NPI
- 1699400192
- Entity type
- Individual (NPI-1)
- Name
- Gwendolyn Marie Zimmerer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2022
- Certification date
- Jul 19, 2022
- Last updated
- Jul 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | TX | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | TX |
Practice location
400 Bizzell StreetCollege Station, TX 77843-0001
Phone 979-845-3211
Mailing address
4404 Bowman DrColleyville, TX 76034-4323
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All 67 Student in an Organized Health Care Education/Training Program providers in College Station · All 2,216 providers in College Station
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