Individual
CAROL MICEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14500 JUANITA DR NE, KENMORE, WA 98028-4966
(515) 758-5095
Mailing address
14500 JUANITA DR NE, KENMORE, WA 98028-4966
(515) 758-5095
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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