Individual
MACKENZIE SHEERIN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10750 W MCDOWELL RD, A100, AVONDALE, AZ 85392-5960
(623) 877-3007
(623) 877-4488
Mailing address
10750 W MCDOWELL RD, A100, AVONDALE, AZ 85392-5960
(623) 877-3007
(623) 877-4488
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2005
AZ
Other
Enumeration date
08/06/2014
Last updated
10/21/2015
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