Individual
MAKENZIE DEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 MCLANE AVE, APT 5, MORGANTOWN, WV 26505-4900
(301) 712-7618
Mailing address
425 MCLANE AVE, APT 5, MORGANTOWN, WV 26505-4900
(301) 712-7618
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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