Individual
JASMINE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
623 LONDON AVE, MARYSVILLE, OH 43040-1514
(713) 576-6721
Mailing address
623 LONDON AVE, MARYSVILLE, OH 43040-1514
(713) 576-6721
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33.016759
OH
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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