Individual
MCKENZIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDI-CAL PSS
Contact information
Practice address
6070 MISSION GORGE RD, SAN DIEGO, CA 92120-4023
(619) 994-1383
Mailing address
6070 MISSION GORGE RD, SAN DIEGO, CA 92120-4023
(619) 994-1383
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-XFSQDN
CA
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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