Search › California › 171M00000X
Justen Mackenroth
NPI 1164149670 · on the registry since 2022
Practice
- Address
- 3607 Blaker Rd
Ceres, CA 95307 - Phone
- (209) 531-1783
- Organisation at this address
- Elite Family Systems - Blaker Home
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 3212 Uranus Dr, Ceres, CA
- 2528 Leslie Ln, Ceres, CA
- 1708 Banyan Ct, Ceres, CA
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2023-10-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California