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Mikaela Johnson Vaal
NPI 1629666151 · on the registry since 2021 · sole proprietor
Practice
- Address
- 5585 Cochran St Apt 188
Simi Valley, CA 93063 - Phone
- (719) 650-8158
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Also registered as
- 174N00000X
225700000X
225700000X - Licence states on file
- CA, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California