Individual
MACKENZIE A RAINES-WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBS
Contact information
Practice address
3308 MINE RD, FREDERICKSBURG, VA 22408-0221
(540) 623-0272
Mailing address
3308 MINE RD, FREDERICKSBURG, VA 22408-0221
(540) 623-0272
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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