Individual
MS. EILEEN MACKUSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
144 N VILLAGE RD, WINTHROP, WA 98862-6002
(831) 214-6807
Mailing address
PO BOX 262, WINTHROP, WA 98862-0262
(831) 214-6807
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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