Individual
MS. KRISTINE M. MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2650 S BRISTOL ST, STE. 101, SANTA ANA, CA 92704-5751
(714) 754-1444
(714) 754-7009
Mailing address
2650 S BRISTOL ST, STE. 101, SANTA ANA, CA 92704-5751
(714) 754-1444
(714) 754-7009
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
254712
CA
Other
Enumeration date
02/16/2007
Last updated
01/11/2012
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