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Individual

MS. MARGUERITE MACKENZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1000 SAN LEANDRO BLVD, FIRST FLOOR, SAN LEANDRO, CA 94577-1598
(510) 667-3138
Mailing address
PO BOX 281, MORAGA, CA 94556-0281
(925) 408-9966

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
RN277265
CA
163WM0102X
Maternal Newborn Registered Nurse
Primary
RN277265
CA

Other

Enumeration date
04/25/2007
Last updated
12/05/2008
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