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Individual

DR. CATHY A MACKNET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
25815 BARTON RD, STE 101, LOMA LINDA, CA 92354-3894
(909) 796-0224
(909) 796-0225
Mailing address
25815 BARTON RD, STE 101, LOMA LINDA, CA 92354-3893
(909) 796-0224
(909) 796-0225

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A89870
CA
207ND0101X
MOHS-Micrographic Surgery Physician
101393
GA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
70090
TN

Other

Enumeration date
07/11/2006
Last updated
08/14/2024
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