Individual
SOFIA MCKENZIE VACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14044 W CAMELBACK RD STE 226, LITCHFIELD PARK, AZ 85340-9426
(623) 233-1050
(623) 215-7137
Mailing address
14044 W CAMELBACK RD STE 226, LITCHFIELD PARK, AZ 85340-9426
(623) 233-1050
(623) 215-7137
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9604
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2021
Last updated
06/19/2025
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