Individual
MACKENZIE ELIZABETH REAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6 FATHOM DR, CORONA DEL MAR, CA 92625-1417
(949) 228-0231
Mailing address
6 FATHOM DR, CORONA DEL MAR, CA 92625-1417
(949) 228-0231
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2028648
CA
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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