Individual
MCKENZIE SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
514 RIVERTRACE CV, MARION, AR 72364-2640
(901) 413-2701
Mailing address
514 RIVERTRACE CV, MARION, AR 72364-2640
(901) 413-2701
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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