MCKENNAH BLUE

COSTA MESA, CA
NPI1912699828
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  95330977)
Enumeration Date2023-05-22
Last Update Date2023-07-31
Business Address
MCKENNAH BLUE RN
301 VICTORIA ST
COSTA MESA, CA 92627-7131
Phone number: 949-642-2734
Mailing Address
MCKENNAH BLUE RN
147 VIRGINIA PL
COSTA MESA, CA 92627-1712
Phone number: 949-872-9669