Individual
MCKENZIE D GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC, CHW,
Contact information
Practice address
124 S 3RD ST, YAKIMA, WA 98901-2828
(509) 571-0998
Mailing address
124 S 3RD ST, YAKIMA, WA 98901-2828
(509) 853-0765
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61530691
WA
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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