Individual
MIKAELA INTENCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20919 BLOOMFIELD AVE APT 64, LAKEWOOD, CA 90715-1842
(562) 241-8260
Mailing address
20919 BLOOMFIELD AVE APT 64, LAKEWOOD, CA 90715-1842
(562) 241-8260
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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