SearchCalifornia1041C0700X

Mackenzie Peterson

NPI 1447086970 · on the registry since 2024 · sole proprietor

Practice

Address
11209 Brockway Rd # C306
Truckee, CA 96161
Phone
(928) 208-0444
Clinicians at this address
2

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
390200000X
373H00000X
Sex
Female
Record last updated
2026-06-22

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