Individual
MR. JAMES W MICKEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
42536 DEVANT CIR, TEMECULA, CA 92592-8160
(951) 506-7678
Mailing address
42536 DEVANT CIR, TEMECULA, CA 92592-8160
(951) 506-7678
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
505750
CA
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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