Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 059532 | GA |
NPI | 1639378268 |
---|---|
Provider Name | Mrs. Wanzhen Zeng |
First Address | Kanata, ONTARIO K2M2X3 |
Second Address | Atlanta, GA 30322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2007 |
Last Update Date | 13/07/2007 |