Jasen Mckenrick

NPI 1245503457 · on the registry since 2012

Practice

Address: 80150 Us Highway 111
Suite C2
Indio, CA 92201
Phone: (760) 863-5900
Fax: (760) 863-5912
Organisation at this address: Meraz Family Dentistry
Moffitt Chiropractic Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 237700000X
237700000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-08-09

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