MARK A MICHELON

SACRAMENTO, CA
NPI1790762953
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  INT17092)
Enumeration Date2005-12-29
Last Update Date2007-07-08
Business Address
-- MARK A MICHELON
2800 L ST SUITE 450
SACRAMENTO, CA 95816-5616
Phone number: 916-454-6744
Mailing Address
-- MARK A MICHELON
2210 I ST APT. 2A
SACRAMENTO, CA 95816-4070
Phone number: 916-444-2381