Search › California › 101YM0800X
Mackenzie Pam, APCC
NPI 1861229452 · on the registry since 2024 · sole proprietor
Practice
- Address
- 11850 Pierce St
Ste 200
Riverside, CA 92505 - Phone
- (951) 465-3664
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-17
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