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Individual

CAMBRIA JOY DAM-MIKKELSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NTP

Contact information

Practice address
124 IRISH WAY, PISMO BEACH, CA 93449-3510
(714) 797-4100
Mailing address
124 IRISH WAY, PISMO BEACH, CA 93449-3510
(714) 797-4100

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
8072
CA

Other

Enumeration date
11/30/2023
Last updated
11/30/2023
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