Individual
MACKENZIE HOLLIS MARSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1004 W HIGHWAY 30, GONZALES, LA 70737-5001
(225) 647-4430
Mailing address
1223 BULLRUSH DR, BATON ROUGE, LA 70810-5219
(225) 572-3759
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1893-829AT
LA
Other
Enumeration date
07/23/2019
Last updated
01/22/2021
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