Individual
MCKENZIE CHRISTINE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 E 300 N APT 12, PROVO, UT 84606-2985
(541) 285-3148
Mailing address
151 E 300 N APT 12, PROVO, UT 84606-2985
(541) 285-3148
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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