Individual
CYNTHIA REDFERN MIKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
195 W HIGHWAY 246, BUELLTON, CA 93427-9459
(805) 686-8555
(805) 686-8556
Mailing address
195 W HIGHWAY 246, BUELLTON, CA 93427-9459
(805) 686-8555
(805) 686-8556
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC9535
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC9535
STATE MEDICAL LICENSE
CA
Enumeration date
07/27/2012
Last updated
07/27/2012
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