Provider Demographics
NPI:1689909293
Name:ZIMMERMAN, RHEA MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:RHEA
Middle Name:MARIE
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1834 1ST ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-2353
Mailing Address - Country:US
Mailing Address - Phone:707-257-1011
Mailing Address - Fax:707-257-1011
Practice Address - Street 1:1834 1ST ST
Practice Address - Street 2:SUITE 3
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-2353
Practice Address - Country:US
Practice Address - Phone:707-257-1011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30414111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor