Individual
MACKENZIE HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1451 8TH ST SE, EAST WENATCHEE, WA 98802-5627
(509) 860-6709
Mailing address
1451 8TH ST SE, EAST WENATCHEE, WA 98802-5627
(509) 860-6709
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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