Individual
MS. MICHELE HUMEL ADKISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 ALAMEDA DE LAS PULGAS, REDWOOD CITY, CA 94062-2751
(650) 369-5811
Mailing address
6444 THORN RIDGE DR, HENDERSON, KY 42420-8749
(270) 454-1047
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
870129
CA
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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