OLIVIA MACKENZIE KING

SOUTH BEND, IN
NPI1366276149
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-08-26
Last Update Date2024-08-26
Business Address
Mrs. OLIVIA MACKENZIE KING PA
4322 LAFAYETTE BLVD.
SOUTH BEND, IN 46614
Phone number: 574-391-1111
Mailing Address
Mrs. OLIVIA MACKENZIE KING PA
4322 LAFAYETTE BLVD.
SOUTH BEND, IN 46614
Phone number: 574-391-1111