SearchCalifornia104100000X

Mackenzie Minard

NPI 1538709548 · on the registry since 2020

Practice

Address
198 Juana Ave
San Leandro, CA 94577
Phone
(510) 822-2915
Clinicians at this address
11

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
103K00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-15

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