Individual
CELESTE MARIE MIKULICS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5555 GROSSMONT CENTER DR, WOUND HEALIGN CENTER, LA MESA, CA 91942-3019
(619) 720-4160
Mailing address
3821 AZALEA GLN, ESCONDIDO, CA 92025-7905
(760) 291-1616
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
446338
CA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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