Individual
MACKENZIE STENSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBP
Contact information
Practice address
411 WESTERN BLVD STE B, JACKSONVILLE, NC 28546-6822
(910) 581-2900
Mailing address
615 PARSLEY DR, HUBERT, NC 28539-4223
(218) 310-0514
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19857
NC
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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