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Organization
ETHEL LEE ZACHARY FOUNDATION
Active
Organization
ETHEL LEE ZACHARY FOUNDATION
Active
Other names
Ethel Lee Zachary Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMANHOTEP J PARKER VI (CEO)
(267) 386-6361
Entity
Organization
Contact information
Practice address
5400 LANSDOWNE AVE APT G2, PHILADELPHIA, PA 19131-3916
(267) 386-6361
Mailing address
5400 LANSDOWNE AVE APT G2, PHILADELPHIA, PA 19131-3916
(267) 386-6361
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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