Individual
MACKENZIE DILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 W TURNER RD STE 450, LODI, CA 95242
(209) 370-1700
Mailing address
2401 W TURNER RD STE 450, LODI, CA 95242-2191
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM05720
CA
Other
Enumeration date
10/08/2019
Last updated
01/22/2024
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