Individual
GAVIN ZAKAREVICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3554
Mailing address
812 POPLAR ST, MILFORD, DE 19963-1329
(302) 448-5890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0033926
DE
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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