Individual
MACKENZIE CARRUTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 FOREST DR STE 160, ANNAPOLIS, MD 21401-4211
(443) 818-0040
Mailing address
1750 FOREST DR STE 160, ANNAPOLIS, MD 21401-4211
(443) 818-0040
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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