Individual
MACKENZIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
480 CENTRAL AVE, NAVAL HEALTH CLINIC HAWAII, JBPHH, HI 96860-4908
(808) 471-1866
Mailing address
480 CENTRAL AVE, NAVAL HEALTH CLINIC HAWAII, JBPHH, HI 96860-4908
(808) 471-1866
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
58-LD
HI
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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