Organization
ROBERT C MACKIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA L NATION (BILLING MANAGER)
(831) 385-6400
Entity
Organization
Contact information
Practice address
406 CANAL ST, KING CITY, CA 93930-3412
(831) 385-6400
(831) 385-1015
Mailing address
406 CANAL ST, KING CITY, CA 93930-3412
(831) 385-6400
(831) 385-1015
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
SD0093020
CA
Other
Enumeration date
04/16/2009
Last updated
06/18/2013
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