JUSTEN DAVID MACKENROTH

CERES, CA
NPI1164149670
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-10-25
Last Update Date2023-10-12
Business Address
JUSTEN DAVID MACKENROTH
3607 BLAKER RD
CERES, CA 95307-9503
Phone number: 209-531-1783
Mailing Address
JUSTEN DAVID MACKENROTH
PO BOX 490
CERES, CA 95307-0490
Phone number: 209-531-2088
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