Individual
SALLY DAVIDSON ZUKOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 926-2544
Mailing address
8837 RANDOM RD, FORT WORTH, TX 76179-2726
(817) 456-1217
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-124074
TX
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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