SearchCalifornia101Y00000X

Mackeen Bolognese, C.HT

NPI 1285480566 · on the registry since 2024 · sole proprietor

Practice

Address
20444 Haynes St
Winnetka, CA 91306
Phone
(310) 387-5044

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-26

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