Individual provider · Type 1 NPI
Mikyung Mikeal
Mastectomy Fitter · Stafford, VA
NPI number
1326338955
Active
Practice location
2170 Harpoon Dr
Stafford, VA 22554-2330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter Primary | 224900000X | None listed |
Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
About NPI 1326338955
Mikyung Mikeal's National Provider Identifier is 1326338955, issued on Apr 16, 2011. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Stafford, VA. The record was last updated on Apr 16, 2011.