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Mackenzie Peterson
NPI 1447086970 · on the registry since 2024 · sole proprietor
Practice
- Address
- 11209 Brockway Rd # C306
Truckee, CA 96161 - Phone
- (928) 208-0444
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 373H00000X
390200000X - Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California