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Individual

MACKENZIE GALLAGHER SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9811 W CHARLESTON BLVD # 2-641, LAS VEGAS, NV 89117-7528
(855) 864-4322
Mailing address
1854 TIMBER GLADE PL, NORTH LAS VEGAS, NV 89084-1100
(702) 401-3418

Taxonomy

Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary

Other

Enumeration date
09/26/2018
Last updated
09/26/2018
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