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Individual

CHRISTIE MACKENZIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1936 UNIVERSITY AVE STE 112, BERKELEY, CA 94704-1003
(510) 488-6767
Mailing address
1936 UNIVERSITY AVE STE 112, BERKELEY, CA 94704-1003
(510) 488-6767

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34419TLG
CA
152W00000X
Optometrist
TA2533
MD

Other

Enumeration date
06/21/2016
Last updated
11/19/2020
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