Individual
MACKENZIE GRACE MARKELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 CARRIGAN DR, BURLINGTON, VT 05405-1745
(802) 656-3370
Mailing address
115 N WINOOSKI AVE APT 7, BURLINGTON, VT 05401-2201
(508) 723-4970
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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