Individual
ANN E MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
150 1ST AVE NW, EPHRATA, WA 98823-1602
(509) 289-0132
Mailing address
150 1ST AVE NW, EPHRATA, WA 98823-1602
(509) 289-0132
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024902
WA
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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