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Individual

MYRA MICHIKO MIZOKAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A84880
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A84880
PHYSICIAN LISCENSE
CA
Enumeration date
02/21/2007
Last updated
12/14/2021
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