Individual
MACKENZIE HODAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 LYTTON AVE STE M060, SUITE M060, PITTSBURGH, PA 15213-1481
(412) 692-6677
Mailing address
2001 BLACK BEAR WAY, SUITE M060, BRIDGEVILLE, PA 15017-3811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP019390
PA
Other
Enumeration date
01/09/2019
Last updated
05/24/2021
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