Individual
ANYE LISETTA MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 N 2ND ST, YAKIMA, WA 98901-2334
(509) 643-8337
Mailing address
315 N 2ND ST, YAKIMA, WA 98901-2334
(509) 643-8337
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/15/2024
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