Individual
SABRINA MARIE MIKOLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-4750
Mailing address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
33256
CA
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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