Individual
CLARISSE MACKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
380 S MELROSE DR STE 415, VISTA, CA 92081-6655
(877) 267-8861
Mailing address
PO BOX 3346, CYPRESS, CA 90630-7346
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95028806
CA
Other
Enumeration date
02/06/2024
Last updated
04/02/2024
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