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Mackenzie Smith
Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut
NPI 1558918862

Mackenzie Smith is a Student in an Organized Health Care Education/Training Program based in Waterbury, CT. Mackenzie Smith practices in Waterbury, CT. The NPI Number for Mackenzie Smith is 1558918862 and holds a License No. (Connecticut).

The current practice location address for Mackenzie Smith is 142 Griggs St, Waterbury, CT and can be reached out via phone at 203-574-1419 and via fax at 203-578-4180.

Location: 142 Griggs St, Waterbury, CT, 06702-2310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558918862
Provider Name
Mackenzie Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
142 Griggs St, Waterbury, CT, 06702-2310
Phone Number
203-574-1419
Fax Number
203-578-4180
Provider Enumeration Date
08/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
142 Griggs St
City
Waterbury
State
Connecticut
Zip
06704-3110
Phone Number
203-574-1419
Fax Number
203-578-4180
person
Provider Business Mailing Address Details
Address
142 Griggs St
City
Waterbury
State
Connecticut
Zip
06704-3110
Phone Number
203-574-1419
Fax Number
203-578-4180
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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