Individual
ITHOPIA MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10436 COLOMA RD, #22, RANCHO CORDOVA, CA 95670
(678) 851-4153
Mailing address
10436 COLOMA RD, #22, RANCHO CORDOVA, CA 95670
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
CA
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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