Search › California › 164X00000X
Breanna Mckenzie
NPI 1215692819 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1076 Brookside Ave Apt 202
Redlands, CA 92373 - Phone
- (909) 233-0458
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-08
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