Individual
AMBER M MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 256-1505
(209) 558-4339
Mailing address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-5401
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
05/13/2025
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