Individual
ELISCHA MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
260 30TH ST UNIT 107, OAKLAND, CA 94611-5970
(310) 341-8012
Mailing address
260 30TH ST UNIT 107, OAKLAND, CA 94611-5970
(310) 341-8012
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
451313
CA
163WX0800X
Orthopedic Registered Nurse
451313
CA
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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