Individual
DR. MACKENSY MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4910 31ST ST S STE B, ARLINGTON, VA 22206-1669
Mailing address
4910 31ST ST S, STE B, ARLINGTON, VA 22206-1669
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557418
VA
Other
Enumeration date
09/30/2017
Last updated
07/15/2019
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