Individual
MRS. ADITA GRACIELA MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12751 HARBOR BLVD, GARDEN GROVE, CA 92840-5800
(714) 620-8883
Mailing address
12751 HARBOR BLVD, GARDEN GROVE, CA 92840-5800
(714) 620-8883
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP12493
CA
Other
Enumeration date
04/23/2007
Last updated
10/30/2012
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