Individual
DR. JUDITH ANN MIKACICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2277 FAIR OAKS BLVD, SUITE 355, SACRAMENTO, CA 95825-5533
(916) 927-3178
(916) 927-1488
Mailing address
2277 FAIR OAKS BLVD, SUITE 355, SACRAMENTO, CA 95825-5533
(916) 927-3178
(916) 927-1488
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A73791
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A737910
MEDICAL
CA
Enumeration date
07/11/2006
Last updated
08/14/2009
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