Cody Mackenzie, ABOC
NPI #1679257398 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1679257398
- Entity Type
- Individual
- Name
- Cody Mackenzie, ABOC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- ABOC
- Enumeration Date
- Jun 13, 2023
- Last Updated
- Jun 13, 2023
Practice Location
- Address
- 506 7TH ST W
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55102-3049
- Phone
- (651) 333-4420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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