Individual
MACKENZIE GILBRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 MONTCLAIR DR, AMARILLO, TX 79124-1335
(806) 220-9279
Mailing address
1129 MONTCLAIR DR, AMARILLO, TX 79124-1335
(806) 220-9279
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
1005053
TX
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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