Individual
ANDREW MICHAEL MACKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4247 TELEGRAPH RD, VENTURA, CA 93003-3705
(805) 644-5563
Mailing address
4247 TELEGRAPH RD, VENTURA, CA 93003-3705
(805) 644-5563
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC34199
CA
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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