Individual
DEVON MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
RN
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
2517 FREETOWN DR, RESTON, VA 20191-2531
(267) 971-4838
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
0001290714
VA
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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