Individual
BREANNA MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1076 BROOKSIDE AVE APT 202, REDLANDS, CA 92373-5055
(909) 233-0458
Mailing address
1076 BROOKSIDE AVE APT 202, REDLANDS, CA 92373-5055
(909) 233-0458
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
716885
CA
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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