Individual
THERESA R MIHALYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
617 MCDEVITT DR, WHEATLAND, CA 95692-9773
(916) 251-6383
Mailing address
617 MCDEVITT DR, WHEATLAND, CA 95692-9773
(916) 251-6383
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
CARE GIVER
CA
Enumeration date
03/12/2021
Last updated
03/12/2021
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