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Mackenzie Marie Canterbury
Student in an Organized Health Care Education/Training Program in Concord, California
NPI 1013520352

Mackenzie Marie Canterbury is a Student in an Organized Health Care Education/Training Program based in Fairfield, CA. Mackenzie Marie Canterbury practices in Concord, CA. The NPI Number for Mackenzie Marie Canterbury is 1013520352 and holds a License No. (California).

The current practice location address for Mackenzie Marie Canterbury is 2000 Sierra Rd, Concord, CA and can be reached out via phone at 864-200-0593.

Location: 2000 Sierra Rd, Concord, CA, 94534-6903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013520352
Provider Name
Mackenzie Marie Canterbury
Credential
Provider Entity Type
Individual
Gender
Female
Address
2000 Sierra Rd, Concord, CA, 94534-6903
Phone Number
864-200-0593
Fax Number
Provider Enumeration Date
08/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2000 Sierra Rd
City
Concord
State
California
Zip
94518
Phone Number
864-200-0593
Fax Number
person
Provider Business Mailing Address Details
Address
2000 Sierra Rd
City
Concord
State
California
Zip
94518
Phone Number
864-200-0593
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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