Provider Information for 1801478201
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CONNIE ZIMMERMAN SIMONSEN Ph.D.
Other Names:Professional Name:CONNIE ZIMMERMAN Ph.D.Sex: Female
NPI: 1801478201
Last Updated: 2021-04-25
Certification Date: 2021-04-25
Certification Date: 2021-04-25
Details
| Name | Value | ||||||||
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| NPI | 1801478201 | ||||||||
| Enumeration Date | 2021-04-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 10614 STONY RIDGE WAY SAN DIEGO, CA 92131-6140 United States Phone: 858-774-0445 | Fax: | ||||||||
| Primary Practice Address | 10614 STONY RIDGE WAY SAN DIEGO, CA 92131-6140 United States Phone: 858-774-0445 | Fax: | ||||||||
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