NPI 1326338955

Mikyung Mikeal

Practitioner Mastectomy Fitter Stafford, VA

Practice location

Address: 2170 Harpoon Dr, Stafford, VA 22554-2330
Phone: (540) 720-7688

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Registry record

NPI: 1326338955
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2011
Record last updated: 16 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.