Individual
KENZI MCCALISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44452 N EL MACERO DR, EL MACERO, CA 95618-1063
(530) 816-1462
Mailing address
44452 N EL MACERO DR, EL MACERO, CA 95618-1063
(530) 816-1462
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95241918
CA
363L00000X
Nurse Practitioner
Primary
95025178
CA
Other
Enumeration date
05/08/2023
Last updated
04/21/2024
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