Individual
MACKENZIE QUINN FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 S MAIN ST, MILBANK, SD 57252-2920
(605) 929-6689
Mailing address
702 S MAIN ST, MILBANK, SD 57252-2920
(605) 929-6689
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000032142
—
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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