Individual
DR. ROXANNE CANO MICKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 553-9600
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
M-17464
ID
207Y00000X
Otolaryngology Physician
Primary
P8160
TX
Other
Enumeration date
07/27/2012
Last updated
11/09/2023
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