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Organization

DIRECT CARE

Active
Other names
Michaelis Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
JENNA MICHAELIS (PRESIDENT)
(530) 400-5254
Entity
Organization

Contact information

Practice address
14646 DASH WAY, POWAY, CA 92064-2912
(530) 400-5254
Mailing address
14646 DASH WAY, POWAY, CA 92064-2912
(530) 400-5254

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
06/10/2020
Last updated
06/10/2020
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