Most Relevant Information
Provider Data
| NPI Number: | 1003494147 |
| Provider Name: | MARJORIE TERESA WIMMER MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/30/2021 |
| Last Updated: | 09/17/2024 |
Provider Practice Location
6405 DAY ST
RIVERSIDE
CA
925070901
Practice Location Phone/Fax
| Phone: | 9516975414 |
| Fax: | 9516975492 |
Provider Mailing Location
6405 DAY ST
RIVERSIDE
CA
925070901
Provider Mailing Phone/Fax
| Phone: | 9516975414 |
| Fax: | 9516975492 |