Individual
MACKENZIE ROSE WECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N CLARKSON ST, FREMONT, NE 68025-4254
(402) 721-5480
Mailing address
801 E DONEGAL ST, ONEILL, NE 68763-1135
(402) 340-8951
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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