Individual
CAROLYN JOYCE MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 E INDIAN SCHOOL RD, 1063, PHOENIX, AZ 85012-1844
(210) 542-3092
Mailing address
411 E INDIAN SCHOOL RD APT 1063, PHOENIX, AZ 85012-1872
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
203957
TX
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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