Individual
MACKENZIE CAITILIN BLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8902 N MERIDIAN ST STE 101, INDIANAPOLIS, IN 46260-5306
(317) 848-8048
Mailing address
648 E 51ST ST, INDIANAPOLIS, IN 46205-1166
(765) 398-6207
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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