Individual
MIKAYLAH LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4505 GEORGEWASHINGTON HWY, PORTSMOUTH, VA 23702
(757) 956-6200
(757) 410-4210
Mailing address
4505 GEORGEWASHINGTON HWY, PORTSMOUTH, VA 23702
(757) 956-6200
(757) 410-4210
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
—
—
3747P1801X
Personal Care Attendant
Primary
—
VA
385H00000X
Respite Care
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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