Individual provider · Type 1 NPI
Stephanie Mita
Foot & Ankle Surgery Podiatrist · Vallejo, CA
NPI number
1669836763
Active
Practice location
975 Sereno Dr
Vallejo, CA 94589-2441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E5567 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1669836763
Stephanie Mita's National Provider Identifier is 1669836763, issued on Apr 5, 2016. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Vallejo, CA. The record was last updated on Jul 22, 2019.