Individual
JOHN L MIKLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Mailing address
1470 FOX HOLLOW CT, CONCORD, CA 94521-2521
(678) 205-7244
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
24096
CA
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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