Individual
PAMELA ELAINE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
15001201
CA
172M00000X
Mechanotherapist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001201
CHILDCARE
CA
01
—
15001201
CHILDCARE
CA
01
—
171MOOOOOX
CASE MANAGER/CASE COORDINATOR
CA
Enumeration date
10/29/2019
Last updated
10/29/2019
Update your record
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