Individual provider · Type 1 NPI

Mikki Routheau

Student in an Organized Health Care Education/Training Program · San Rafael, CA

NPI number 1912369604 Active

Practice location

20 N San Pedro Rd
San Rafael, CA 94903-4188

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1912369604

Mikki Routheau's National Provider Identifier is 1912369604, issued on Mar 22, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Rafael, CA. The record was last updated on Aug 28, 2026.