Individual
MACKENZIE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
162 SHADY GROVE ROAD, RUPERT, WV 25984
(304) 661-1552
Mailing address
PO BOX 1226, RUPERT, WV 25984-1226
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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