Individual
MACKENZIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 LIVINGSTON ST, BAY CITY, MI 48708-6392
(989) 778-1090
Mailing address
3463 DEEP RIVER RD, STANDISH, MI 48658-9407
(989) 846-9631
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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