Individual
MACKENZIE JAMES SKRBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HS
Contact information
Practice address
USCG HQ, COMDT 2100 2ND STREET, RM 5314, WASHINGTON, DC 20593-3154
(508) 968-6572
Mailing address
USCG HQ, COMDT 2100 2ND STREET, RM 5314, WASHINGTON, DC 20593-3154
(508) 968-6572
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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