Individual
AMBER ZECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(405) 428-2405
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(405) 428-2405
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN088491
GA
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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