Justen David Mackenroth
NPI #1164149670 in Ceres, California
Provider Information
- NPI Number
- 1164149670
- Entity Type
- Individual
- Name
- Justen David Mackenroth
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Oct 25, 2022
- Last Updated
- Oct 12, 2023
Practice Location
- Address
- 3607 BLAKER RD
- City
- Ceres
- State
- California
- ZIP Code
- 95307-9503
- Phone
- (209) 531-1783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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