Individual
MICAILA MARINA DITGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(530) 209-9859
Mailing address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(530) 209-9859
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
01/21/2025
Last updated
05/13/2025
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