Individual
LISA ROSS MIKKELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1120 E 7TH 1/2 ST, HOUSTON, TX 77009-7131
(850) 261-0659
Mailing address
1120 E 7TH 1/2 ST, HOUSTON, TX 77009-7131
(850) 261-0659
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
Primary
951629
TX
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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