Individual
CARMEN MICSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6307 GRANT AVE, CARMICHAEL, CA 95608-3444
(916) 342-2446
Mailing address
6121 LANDIS AVE, CARMICHAEL, CA 95608-3809
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
347001570
CA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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