Individual
MACKENZIE GRACE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 MEDICAL CENTER DR, MORGANTOWN, WV 26505-3409
(715) 222-4573
Mailing address
711 CARMELL CT, MORGANTOWN, WV 26505-7806
(715) 222-4573
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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