MACKENZIE BASS

ROSEVILLE, CA
NPI1851189526
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-30
Last Update Date2025-04-30
Business Address
MACKENZIE BASS DO
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661-3037
Phone number: 916-755-7184
Mailing Address
MACKENZIE BASS DO
218 FIRESTONE DR
ROSEVILLE, CA 95678-1011
Phone number:
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