Mackenzie Lynn Bolduc
Mackenzie Lynn Bolduc is a Student in an Organized Health Care Education/Training Program in San Bernardino, California. Licensed in Pennsylvania. Registered with an NPI since 2018.
- Licensed in
- PA
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
1964 Sheridan RdSan Bernardino, CA 92407-4696
Phone: (760) 987-0742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence RT007068 (PA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1295243491 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 22, 2018 |
| Last updated in NPPES | November 25, 2019 |
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