Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251C2600X | Cardiopulmonary | 19154 | MD |
NPI | 1356797773 |
---|---|
Provider Name | Jennifer Zanni |
First Address | Nottingham, MD 21236-5908 |
Second Address | Nottingham, MD 21236-5908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2016 |
Last Update Date | 05/05/2016 |