Individual
TERRY MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2009 SAINT THOMAS DR, #308, WALDORF, MD 20602-2138
(619) 454-1934
Mailing address
2009 SAINT THOMAS DR, #308, WALDORF, MD 20602-2138
(619) 454-1934
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R076524
MD
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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