NISSA MIKKELSEN

PRESCOTT, AZ
NPI1205038007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: AZ  5570)
Enumeration Date2007-06-04
Last Update Date2007-07-08
Business Address
Ms. NISSA MIKKELSEN
NORTHERN ARIZONA VA HCS 500 N. HWY 89
PRESCOTT, AZ 86313
Phone number: 928-445-4860
Mailing Address
Ms. NISSA MIKKELSEN
500 N. HWY 89
PRESCOTT, AZ 86313
Phone number: 928-445-4860
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