Individual
MRS. ANNA M MIKHAYLISHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
729 SUNRISE AVE, SUITE 800, ROSEVILLE, CA 95661-4565
(916) 782-1717
(916) 782-5270
Mailing address
729 SUNRISE AVE, SUITE 800, ROSEVILLE, CA 95661-4565
(916) 782-1717
(916) 782-5270
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21051
CA
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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