Individual
MYKA RAE RADECKI
Active
Individual
MYKA RAE RADECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
74000686A
IN
170300000X
Genetic Counselor (M.S.)
99125305A
IN
Other
Enumeration date
05/22/2024
Last updated
09/23/2024
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