Individual
MACKENZIE SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCD(CAPPA)
Contact information
Practice address
522 S SHERMAN ST, DENVER, CO 80209-4029
(650) 888-0045
Mailing address
522 S SHERMAN ST, DENVER, CO 80209-4029
(650) 888-0045
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
5-202308
CO
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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