Individual
RUTH JACQUELINE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 MUIR RD, MARTINEZ, CA 94553-4668
(925) 372-2000
Mailing address
1621 MANOR DR, SAN PABLO, CA 94806-3494
(415) 374-5476
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
00188799
CA
376K00000X
Nurse's Aide
Primary
00623111
CA
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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