Individual
MRS. JANICE LEE MACKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25250 N 35TH AVE, PHOENIX, AZ 85083-4335
(623) 445-7110
(623) 445-7181
Mailing address
25250 N 35TH AVE, PHOENIX, AZ 85083-4335
(623) 445-7110
(623) 445-7181
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN230203
AZ
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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